Preferred Specialty Pharmacies for Hemophilia (Factor) Drugs
May 13, 2013 (Updated June 21, 2013)
Factor drugs, which are specialty medications used to treat hemophilia, often have unique storage or shipment requirements and usually are not stocked at retail pharmacies. Blue Cross and Blue Shield of Illinois (BCBSIL) contracts with select specialty pharmacies to ensure availability of specialty medications for our members.
As a reminder, Prime Therapeutics (Prime) is the pharmacy benefit manager for most BCBSIL members. If Prime is the pharmacy benefits manager for your patient, please note that BCBSIL contracts with the following specialty pharmacies for hemophilia (factor) products:*
- Accredo Health Group, Inc. (Accredo®)
To contact Accredo regarding hemophilia (factor) products, call 800-800-6606. Referral information may be faxed to Accredo at 800-330-0756.
- Prime Specialty Pharmacy
To contact Prime Specialty Pharmacy regarding hemophilia (factor) products, call 877-627-MEDS (6337). Referral information may be faxed to Prime Specialty Pharmacy at 877-828-3939.
For those members who have Prime as their pharmacy benefits manager, acquiring hemophilia drugs through these specialty pharmacies will help to ensure maximum benefit coverage.
Note: In accordance with their benefits, members who do not have Prime Therapeutics (Prime) assigned as their pharmacy benefits manager may be required to use a preferred specialty pharmacy that is different from those listed above. Please call the number on the member’s ID card to verify coverage or for further assistance or clarification on the member’s benefits.
*The relationship between BCBSIL and the specialty pharmacies is that of independent contractors.
Pharmacy benefits and limits are subject to the terms set forth in the member’s certificate of coverage which may vary from the limits set forth above. The listing of any particular drug or classification of drugs is not a guarantee of benefits. Members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions.
Prime Therapeutics Specialty Pharmacy LLC (Prime Specialty Pharmacy) is a wholly owned subsidiary of Prime Therapeutics LLC (Prime), a pharmacy benefit management company. Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an independent licensee of the Blue Cross and Blue Shield Association, contracts with Prime to provide pharmacy benefit management, prescription home delivery and specialty pharmacy services. HCSC, as well as several other independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime.