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)
  • Sandostatin LAR
  • Somatuline Depot*
  • Somavert*

ALCOHOL/OPIOID DEPENDENCY

  • Vivitrol

ALPHA-1 ANTITRYPSIN DEFICIENCY

  • Aralast NP*
  • Glassia*
  • Zemaira*

ANEMIA

  • Aranesp
  • Epogen
  • Procrit

ASTHMA

  • Cinqair*
  • Fasenra*
  • Nucala*
  • Xolair*

ATOPIC DERMATITIS

  • Dupixent

COAGULATION DISORDERS

  • Ceprotin*

CRYOPYRIN-ASSOCIATED PERIODIC SYNDROMES

  • Arcalyst*
  • Ilaris*

CYSTIC FIBROSIS

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

ELECTROLYTE DISORDERS

  • Samsca*

GASTROINTESTINAL DISORDERS

  • Gattex*
  • Ocaliva*
  • Solesta*

GOUT

  • Krystexxa

GROWTH HORMONE and RELATED DISORDERS

Growth Hormone Disorders

  • Genotropin
  • Humatrope
  • Norditropin
  • Nutropin
  • Omnitrope
  • Saizen
  • Serostim*
  • Zomacton
  • Zorbtive

IGF-1 Deficiency

  • Increlex*

HEMATOPOIETICS

  • Mozobil*

HEMOPHILIA, VON WILLEBRAND DISEASE and RELATED BLEEDING DISORDERS

  • Advate
  • Adynovate
  • Afstyla
  • Alphanate
  • AlphaNine SD
  • Alprolix
  • Bebulin
  • BeneFIX
  • Coagadex*
  • Corifact*
  • Eloctate
  • Feiba
  • Fibryga
  • Helixate FS
  • Hemlibra
  • Hemofil M
  • Humate-P
  • Idelvion
  • Ixinity
  • Jivi
  • Koate
  • Koate-DVI
  • Kogenate FS
  • Kovaltry
  • Monoclate-P
  • Mononine
  • NovoEight*
  • NovoSeven RT
  • Nuwiq
  • Obizur*
  • Profilnine
  • Profilnine SD
  • Rebinyn
  • Recombinate
  • RiaSTAP
  • Rixubis
  • Stimate
  • Tretten*
  • Vonvendi*
  • Wilate
  • Xyntha

HEPATITIS C

  • Daklinza
  • Epclusa
  • Harvoni
  • Mavyret
  • Pegasys
  • PEGIntron
  • Rebetol Solution
  • Ribatab
  • ribavirin caps (ribasphere, REBETOL)
  • ribavirin tabs (ribasphere, MODERIBA)
  • Sovaldi
  • Technivie
  • Viekira Pak
  • Vosevi
  • Zepatier

HEREDITARY ANGIODEMA

  • Berinert*
  • Cinryze*
  • Firazyr*
  • Haegarda*
  • Kalbitor*
  • Ruconest*
  • Takhzyro*

HIV MEDICATIONS

  • Egrifta*
  • Fuzeon

HORMONAL THERAPIES

  • Aveed*
  • Eligard
  • Firmagon
  • leuprolide acetate (LUPRON)
  • Lupaneta Pack
  • Lupron Depot
  • Natpara*
  • Supprelin LA*
  • Trelstar
  • Vantas
  • Zoladex

IMMUNE DEFICIENCIES and RELATED DISORDERS

  • Bivigam*
  • Cuvitru
  • Cytogam
  • Flebogamma DIF
  • GamaSTAN S/D
  • Gammagard Liquid
  • Gammagard S/D
  • Gammaked
  • Gammaplex*
  • Gamunex C
  • HepaGam B
  • Hizentra*
  • HyerpHEP B
  • HyperRHO S/D
  • Hyqvia
  • MICRhoGAM
  • Nabi-HB
  • Octagam
  • Privigen
  • RhoGAM
  • Rhophylac
  • WinRho SDF

INFECTIOUS DISEASE - OTHER

  • Actimmune*

INFERTILITY

  • Bravelle
  • Cetrotide
  • Chorionic gonadotropin
  • Follistim AQ
  • Ganirelix acetate
  • Gonal-F
  • Menopur
  • Novarel
  • Ovidrel
  • Pregnyl

INFLAMMATORY BOWEL DISEASE

  • Cimzia
  • Entyvio
  • Humira
  • Inflectra
  • Remicade
  • Renflexis*
  • Simponi
  • Stelara
  • Tysabri*
  • Xeljanz

IRON OVERLOAD

  • deferoxamine (DESFERAL)
  • Exjade*
  • Jadenu*

LIPID DISORDERS, PCSK9 INHIBITORS

  • Praluent
  • Repatha

LYSOSOMAL STORAGE DISORDERS

  • Aldurazyme*
  • Cerdelga*
  • Cerezyme*
  • Cystagon*
  • Elaprase *
  • Elelyso*
  • Fabrazyme*
  • Kanuma*
  • Lumizyme*
  • miglustat
  • Naglazyme*
  • Vimizim*
  • VPRIV*

MOVEMENT DISORDERS

  • Apokyn*
  • Austedo
  • Northera*
  • Nuplazid*
  • Radicava*
  • Soliris*
  • tetrabenazine (Xenazine*)

MULTIPLE SCLEROSIS

  • Aubagio*
  • Avonex
  • Betaseron
  • dalfampridine ER (AMPYRA*)
  • Extavia
  • Gilenya
  • glatiramer acetate (COPAXONE, GLATOPA)
  • Lemtrada*
  • Ocrevus*
  • Plegridy*
  • Rebif
  • Tecfidera*
  • Tysabri*

NEUTROPENIA

  • Fulphila
  • Granix
  • Leukine
  • Neulasta
  • Neupogen
  • Nivestym
  • Zarxio

ONCOLOGY- INJECTABLE

  • Bavencio*
  • Beleodaq*
  • Bendamustine hydrochloride
  • Bendeka*
  • Blincyto*
  • Cyramza*
  • Darzalex*
  • Empliciti*
  • Evomela*
  • Imfinzi*
  • Keytruda*
  • Kyprolis*
  • Opdivo*
  • Portrazza*
  • Poteligeo*
  • Rituxan Hycela*
  • Sylvant*
  • Tecentriq*
  • Tepadina
  • Thyrogen*
  • Xgeva
  • Yondelis*
  • zoledronic acid (Zometa)

ONCOLOGY, ORAL/TOPICAL

  • Afinitor
  • Alecensa*
  • Alunbrig*
  • bexarotene (Targretin)
  • Bosulif
  • Cabometyx*
  • capecitabine (Xeloda)
  • Cotellic*
  • Erivedge*
  • Erleada*
  • Farydak*
  • Hycamtin
  • Ibrance*
  • Idhifa*
  • imatinib mesylate (Gleevec)
  • Inlyta*
  • Iressa*
  • Jakafi*
  • Kisqali
  • Kisqali Femara Co-pack
  • Lonsurf*
  • Mekinist*
  • Nerlynx*
  • Nexavar*
  • Ninlaro*
  • Odomzo*
  • Pomalyst*
  • Purixan*
  • Revlimid*
  • Rubraca*
  • Rydapt
  • Sprycel
  • Stivarga*
  • Sutent
  • Tafinlar*
  • Tagresso*
  • Tarceva*
  • Targretin
  • Tasigna
  • temozolomide (Temodar)
  • Thalomid
  • Tykerb*
  • Verzenio*
  • Votrient*
  • Xalkori*
  • Xtandi*
  • Zelboraf*
  • Zolinza
  • Zydelig*
  • Zykadia*
  • Zytiga*

OSTEOPOROSIS

  • Forteo
  • Prolia
  • Tymlos
  • zoledronic acid (Reclast)

PAROXYSMAL NOCTURNAL HEMOGLOBINURIA

  • Soliris*

PHENYLKETONURIA

  • Kuvan*

PRE-TERM BIRTH

  • hydroxyprogesterone capro (Makena*)

PSORIASIS

  • Cimzia
  • Cosentyx*
  • Enbrel
  • Humira
  • Ilumya*
  • Inflectra
  • Otezla
  • Otrexup
  • Rasuvo
  • Remicade
  • Renflexis*
  • Siliq
  • Stelara
  • Taltz*
  • Tremfya
  • Xeljanz

PULMONARY ARTERIAL HYPERTENSION

  • Adempas*
  • epoprostenol sodium (Flolan, Veletri)*
  • Letairis*
  • Opsumit*
  • Orenitram*
  • Remodulin*
  • sildenafil citrate (Revatio)
  • tadalafil (Adcirca)
  • Tracleer*
  • Tyvaso*
  • Uptravi*
  • Ventavis*

PULMONARY DISORDERS - OTHER

  • Esbriet*
  • Ofev*

RARE DISORDERS - OTHER

  • Crysvita*

RENAL DISEASE

  • Parsabiv
  • Sensipar

RESPIRATORY SYNCYTIAL VIRUS

  • Synagis

RETINAL DISORDERS

  • Eylea*
  • Iluvien*
  • Lucentis*
  • Macugen*
  • Visudyne*

RHEUMATOID ARTHRITIS

  • Actemra*
  • Cimzia
  • Enbrel
  • Humira
  • Inflectra
  • Kezvara*
  • Olumiant*
  • Orencia
  • Otrexup
  • Rasuvo
  • Remicade
  • Renflexis*
  • Simponi
  • Simponi Aria
  • Xeljanz

SEIZURE DISORDERS

  • H.P. Acthar Gel*
  • Sabril Tabs*
  • vigabatrin pwd* (Sabil PWD*)
  • vigadrone (Sabil PWD*)

SYSTEMIC LUPUS ERYTHEMATOSUS

  • Benlysta*

THROMBOCYTOPENIA

  • Doptelet*
  • Mulpleta
  • Nplate
  • Promacta*

UREA CYCLE DISORDERS

  • Ravicti*
  • sodium phenylbutyrate (Buphenyl)

* Indicates Limited Distribution products distributed by CVS Specialty or one of its affiliates, including Coram® CVS Specialty Infusion Services.

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