Specialty, infused and injectable prescription drugs

If you're getting one of the specialty medicines shown on the list below through a pharmacy, you must use CVS Caremark Specialty Mail Order Pharmacy to get your medicine. (This does not apply to our Fallon Senior Plan members.)

If you have questions, please contact our Customer Service Department at 1-800-868-5200 (TTY users please call TRS Relay 711), Monday, Tuesday, Thursday, and Friday from 8 a.m. to 6 p.m. and Wednesday from 10 a.m. to 6 p.m.

Specialty drug list

ACROMEGALY

  • octreotide acetate (SANDOSTATIN)1
  • Sandostatin LAR
  • Somatuline Depot*
  • Somavert*

ALCOHOL DEPENDENCY

  • Vivitrol

ALLERGEN IMMUNOTHERAPY

  • Oralair*

ALLERGIC ASTHMA

  • Xolair*

ALPHA-1 ANTITRYPSIN DEFICIENCY

  • Aralast NP*
  • Glassia*
  • Zemaira*

ANEMIA

  • Aranesp2
  • Epogen
  • Procrit

BOTULINUM TOXINS

  • Botox
  • Dysport
  • Myobloc
  • Xeomin*

CARDIAC DISORDERS

  • Tikosyn

COAGULATION DISORDERS

  • Ceprotin*

CONTRACEPTIVES

  • Implanon*
  • Mirena*
  • Nexplanon*
  • Skyla*

CRYOPYRINASSOCIATED PERIODIC SYNDROMES

  • Arcalyst*
  • Ilaris*

CYSTIC FIBROSIS

  • Bethkis*
  • Kalydeco*
  • Kitabis Pak*
  • Orkambi*
  • Pulmozyme
  • TOBI Podhaler*
  • tobramycin nebulizer (TOBI*)

DUPUYTREN’S CONTRACTURE

  • Xiaflex*

ELECTROLYTE DISORDERS

  • Samsca

GASTROINTESTINAL DISORDERS

  • Gattex*
  • Solesta*

GOUT

  • Krystexxa*

GROWTH HORMONE and RELATED DISORDERS

Growth Hormone

  • Genotropin2
  • Humatrope
  • Norditropin2
  • Nutropin2
  • Omnitrope
  • Saizen2
  • Serostim*
  • Tev-Tropin
  • Zomacton
  • Zorbtive

IGF-1 Deficiency

  • Increlex*

HEMATOPOIETICS

  • Mozobil*
  • Neumega

HEMOPHILIA, VON WILLEBRAND DISEASE and RELATED BLEEDING DISORDERS

  • Advate
  • Alphanate
  • AlphaNine SD
  • Alprolix
  • Bebulin2
  • Bebulin VH
  • BeneFIX
  • Corifact*
  • Feiba NF
  • Feiba VH
  • Helixate FS
  • Hemofil M
  • Humate-P
  • Ixinity
  • Koate-DVI
  • Kogenate FS
  • Monoclate-P
  • Mononine
  • NovoEight*
  • NovoSeven RT
  • Obizur*
  • Profilnine SD
  • Recombinate
  • Refacto
  • RiaSTAP
  • Rixubis
  • Stimate
  • Tretten*
  • Wilate
  • Xyntha

HEPATITIS

  • adefovir (Hepsera)
  • Baraclude Solution
  • Daklinza
  • entecavir (Baraclude)
  • Epivir HBV Solution
  • Harvoni
  • Incivek
  • Infergen
  • Intron-A*
  • lamivudine (EPIVIR HBV)
  • Olysio
  • Pegasys2
  • PEGIntron2
  • Rebetol Solution
  • RibaPak
  • Ribasphere
  • Ribatab
  • ribavirin caps (REBETOL)1
  • ribavirin tabs (COPEGUS)1
  • Sovaldi
  • Technivie
  • Tyzeka
  • Victrelis
  • Viekira Pak
  • Viread

HEREDITARY ANGIODEMA

  • Berinert*
  • Cinryze*
  • Firazyr*
  • Kalbitor*
  • Ruconest*

HIV MEDICATIONS

  • abacavir tab (Ziagen)
  • abacavir/lamivudine/zidovudine tab (Trizivir)
  • Aptivus
  • Atripla
  • Complera
  • Crixivan
  • didanosine (Videx, Videx EC)
  • Edurant
  • Egrifta*
  • Emtriva
  • Epzicom
  • Evotaz
  • Fuzeon
  • Intelence
  • Invirase
  • Isentress
  • Kaletra
  • lamivudine (Epivir)
  • lamivudine/zidovudine (Combivir)
  • Lexiva
  • nevirapine (Viramune, Viramune XR)
  • Norvir
  • Prezcobix
  • Prezista
  • Rescriptor
  • Retrovir Injectable
  • Reyataz
  • Selzentry
  • stavudine (Zerit)
  • Stribild
  • Sustiva
  • Tivicay
  • Triumeq
  • Truvada
  • Tybost
  • Videx Solution
  • Viracept
  • Viread
  • Vitekta
  • Ziagen Solution
  • zidovudine (Retrovir)

HORMONAL THERAPIES

  • Aveed*
  • Eligard
  • Firmagon
  • leuprolide acetate (LUPRON)1
  • Lupaneta Pack
  • Lupron Depot2
  • Natpara*
  • Supprelin LA*
  • Trelstar2
  • Vantas
  • Zoladex

IMMUNE DEFICIENCIES and RELATED DISORDERS

  • Bivigam*
  • Carimune NF
  • Cytogam
  • Flebogamma2
  • Flebogamma DIF
  • GamaSTAN S/D
  • Gammagard Liquid
  • Gammagard S/D
  • Gammaked
  • Gammaplex*
  • Gamunex C
  • HepaGam B
  • Hizentra*
  • HyerpHEP B
  • HyperRHO S/D
  • Hyqvia
  • MICRhoGAM2
  • Nabi-HB
  • Privigen
  • RhoGAM2
  • Rhophylac
  • Varizig
  • WinRho SDF

IMMUNE (IDIOPATHIC) THROMBOCYTOPENIC PURPURA

  • Nplate
  • Promacta*

INFECTIOUS DISEASE

  • Actimmune*
  • Alferon N

INFERTILITY

  • Bravelle
  • Cetrotide
  • chorionic gonadotropin (novarel, pregnyl)1
  • Follistim AQ
  • ganirelix acetate1
  • Gonal-F22
  • Menopur
  • Ovidrel
  • Repronex

INFLAMMATORY BOWEL DISEASE

  • Cimzia*
  • Entyvio
  • Humira
  • Remicade
  • Simponi
  • Tysabri*

IRON OVERLOAD

  • deferoxamine (DESFERAL)1
  • Exjade*
  • Jadenu*

LIPID DISORDERS

  • Kynamro*

LIPID DISORDERS, PCSK9 INHIBITORS

  • Praluent*
  • Repatha

LYSOSOMAL STORAGE DISORDERS

  • Aldurazyme*
  • Cerdelga*
  • Cerezyme*
  • Cystagon*
  • Elaprase *
  • Fabrazyme*
  • Lumizyme*
  • Myozyme*
  • Naglazyme*
  • Vimizim*
  • VPRIV*

MIGRAINE

  • Zecuity*

MOVEMENT DISORDERS

  • Apokyn*
  • Northera*
  • tetrabenazine (Xenazine*)

MULTIPLE SCLEROSIS

  • Ampyra*
  • Aubagio*
  • Avonex
  • Betaseron
  • Extavia
  • Gilenya
  • glatiramer acetate (Copaxone, Glatopa, Lemtrada*)
  • mitoxantrone (Novantrone)
  • Plegridy*
  • Rebif
  • Tecfidera*
  • Tysabri*

NEUTROPENIA

  • Granix
  • Leukine
  • Neulasta
  • Neupogen
  • Zarxio

ONCOLOGY, INJECTABLE3

  • Adcetris*
  • Arzerra*
  • Avastin
  • azacitidine (Vidaza)
  • Beleodaq*
  • Blincyto*
  • decitabine (Dacogen)
  • Elspar
  • Erbitux
  • Folotyn
  • Fusilev
  • Gazyva*
  • Halaven
  • Herceptin
  • Intron A*
  • Istodax*
  • Ixempra
  • Jevtana
  • Kadcyla
  • Keytruda*
  • Kyprolis*
  • Levoleucovorin
  • Calcium
  • mitoxantrone (Novantrone)
  • Oncaspar
  • Opdivo*
  • Perjeta
  • Proleukin
  • Rituxan
  • Sylatron*
  • Synribo
  • Temodar
  • Thyrogen*
  • Torisel
  • Treanda
  • Valstar
  • Vectibix
  • Velcade
  • Vidaza
  • Xgeva
  • Yervoy
  • Zaltrap
  • zoledronic acid (Zometa)

ONCOLOGY, ORAL/TOPICAL

  • Afinitor
  • bexarotene (Targretin)
  • Bosulif
  • capecitabine (Xeloda)
  • Erivedge*
  • Farydak*
  • Gleevec
  • Hycamtin*
  • Ibrance*
  • Inlyta*
  • Jakafi*
  • Mekinist*
  • Mugard
  • Nexavar*
  • Pomalyst*
  • Revlimid*
  • Sprycel
  • Stivarga*
  • Sutent
  • Tafinlar*
  • Tarceva*
  • Targretin
  • Tasigna
  • temozolomide (Temodar)
  • Thalomid
  • Tykerb*
  • Votrient*
  • Xalkori*
  • Xtandi*
  • Zelboraf*
  • Zolinza
  • Zykadia*
  • Zytiga

OSTEOARTHRITIS

  • Euflexxa
  • Gel-One
  • Hyalgan
  • Monovisc
  • Orthovisc
  • Supartz
  • Synvisc
  • Synvisc One

OSTEOPOROSIS

  • Forteo
  • Prolia
  • zoledronic acid (Reclast) )

PAROXYSMAL NOCTURNAL HEMOGLOBINURIA

  • Soliris*

PHENYLKETONURIA

  • Kuvan*

PRE-TERM BIRTH

  • Makena*

PSORIASIS

  • Cosentyx*
  • Enbrel
  • Humira
  • Otezla*
  • Otrexup
  • Rasuvo
  • Remicade
  • Stelara

PULMONARY ARTERIAL HYPERTENSION

  • Adcirca
  • Adempas*
  • epoprostenol sodium1*
  • Letairis*
  • Opsumit*
  • Orenitram*
  • Remodulin*
  • sildenafil citrate (Revatio)
  • Tracleer*
  • Tyvaso*
  • Veletri*
  • Ventavis*

PULMONARY DISORDERS, OTHER

  • Esbriet*

RENAL DISEASE

  • Sensipar

RESPIRATORY SYNCYTIAL VIRUS

  • Synagis

RETINAL DISORDERS

  • Eylea*
  • Iluvien*
  • Lucentis*
  • Macugen*
  • Ozurdex*
  • Retisert*
  • Visudyne*

RHEUMATOID ARTHRITIS

  • Actemra
  • Cimzia*
  • Enbrel
  • Humira
  • Kineret
  • Orencia
  • Remicade
  • Simponi

SEIZURE DISORDERS

  • H.P. Acthar Gel*
  • Sabril*

SYSTEMIC LUPUS ERYTHEMATOSUS

  • Benlysta

TRANSPLANT

  • Astagraf XL
  • Cellcept Injectable
  • Cellcept Suspension
  • cyclosporine (Gengraf, Neoral, Sandimmune)
  • mycophenolate mofetil (Cellcept)
  • mycophenolate sodium DR (Myfortic)
  • Nulojix
  • Prograf Injectable
  • Rapamune Solution
  • sirolimus tab (Rapamune)
  • tacrolimus (Prograf)
  • Zortress

UREA CYCLE DISORDERS

  • phenylbutyrate sodium (Buphenyl)
  • Ravicti*

1 Lowercase type indicates generic name and availability; lowercase type within parentheses indicates trademark generics listed only when no brand is available; products in all capital letters within parentheses indicate brand-names of generic products.

2 Multiple dosage formulations and injectable devices are available.

3 Call CVS Caremark toll-free at 1-800-237-2767 for specific medications available through CVS Caremark Specialty Pharmacy. Listing is subject to change.

* Indicates Limited Distribution products distributed by CVS Caremark Specialty Pharmacy. Limited Distribution defined as less than 15 pharmacy providers.

Products distributed by CVS Caremark Specialty Pharmacy, as well as products covered by a plan member’s prescription benefit plan, may change from time to time. In addition, a plan member’s specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance on this document at any time.