All specialty medications require Precertification. The process begins with a call to HealthSmart at 1-888-440-7342. HealthSmart will review the drug for medical necessity, and if approved, will coordinate the purchase through an approved source. Specialty drugs have the following key characteristics:
- Need frequent dosage adjustments
- Cause more severe side effects than traditional drugs
- Need special storage, handling and/or administration
- Have a narrow therapeutic range
- Require periodic laboratory or diagnostic testing
After you have met your prescription drug deductible, the copayment on these medications will be $50 for any medications in this class. These drugs are not available in 90-day supplies.
If you are prescribed one of these common specialty medications, call HealthSmart toll-free at 1-888-440-7342.
Common Specialty Medications