Specialty drugs are those drugs used to treat complex or chronic conditions, and which usually require close monitoring, such as multiple sclerosis, hepatitis, rheumatoid arthritis, cancer, and other conditions that are difficult to treat with traditional therapies. Specialty drugs may be self-administered in the home by injection (under the skin or into a muscle), by inhalation, by mouth, or on the skin. These drugs may also require special handling, special manufacturing processes, and may have limited prescribing or limited pharmacy availability.
Specialty drugs are obtained from a Blue Shield specialty pharmacy, and may require prior authorization for medical necessity by Blue Shield. If coverage is approved, the drug can only be obtained through one of our specialty pharmacies.
You can download list of specialty drugs by going to the Drug Formularies in the Pharmacy section of www.blueshieldca.com and selecting your plan type (Medicare Part D, Individual and Family Plan, Small Group or Large Group). return to top