Specialty, infused and injectible prescription drugs

Starting June 1, 2009, members on one of the following specialty medications must use CVS Caremark Specialty Mail Order Pharmacy to get their medicine. (This does not apply to our Fallon Senior Plan or Medicaid members.) 

Specialty drug list

ALLERGIC ASTHMA
Xolair

CROHN'S DISEASE
Cimzia
Humira
Remicade
Tysabri

CYSTIC FIBROSIS
Pulmozyme
TOBI

GROWTH HORMONE & RELATED DISORDERS
Growth Hormone
Disorders
Genotropin²
Humatrope
Norditropin²
Nutropin²
Omnitrope
Saizen²
Tev-Tropin
Zorbtive
IGF-1 Deficiency
Increlex

HEMATOPOIETICS
Aranesp
Epogen
Leukine
Neulasta
Neumega
Neupogen
Procrit

HEMOPHILIA, VON WILLEBRAND DISEASE & RELATED BLEEDING DISORDERS
Advate
Alphanate
Alphanine SD
Bebulin VH
BeneFIX
Feiba VH
Helixate FS
Hemofil M
Humate-P
Koate-DVI
Kogenate FS
Monarc M
Monoclate-P
Mononine
NovoSeven²
Profilnine SD
Proplex T
Recombinate
Refacto
Stimate
Xyntha

HEPATITIS C
Infergen
Pegasys²
PEG-Intron²
Rebetol Solution
ribavirin caps (REBETOL)¹
ribavirin tabs (COPEGUS)¹

HIV MEDICATIONS
Fuzeon
Serostim

HORMONAL THERAPIES
Eligard
H.P. Acthar Gel
leuprolide acetate (LUPRON)¹
Lupron Depot²
Supprelin LA
Trelstar²
Vantas
Viadur
Zoladex

IMMUNE DEFICIENCIES & RELATED DISORDERS
IV Immune globulins
Carimune²
Cytogam
Flebogamma²
GamaSTAN S/D
Gammagard²
Gamunex
Immune Globulin
Octagam
Panglobulin²
Polygam S/D
Privigen
Rhophylac
Vivaglobin
WinRho SDF

INFERTILITY
Bravelle
Cetrotide
chorionic gonadotropin (novarel, pregnyl)¹
Follistim AQ
Ganirelix
Gonal-F2
Luveris
Menopur
Ovidrel
Repronex

LYSOSOMAL STORAGE DISORDERS
Aldurazyme
Ceredase
Cerezyme
Elaprase
Fabrazyme
Myozyme
Naglazyme

MACULAR DEGENERATION
Lucentis
Macugen
Visudyne

MULTIPLE SCLEROSIS
Avonex
Betaseron
Copaxone
Rebif
Tysabri

ONCOLOGY - INJECTABLE³

ONCOLOGY - ORAL
Gleevec
Nexavar
Revlimid
Sprycel
Sutent
Tarceva
Tasigna
Temodar
Thalomid
Tykerb
Xeloda
Zolinza

OSTEOARTHRITIS
Euflexxa
Hyalgan
Orthovisc
Supartz
Synvisc

OSTEOPOROSIS
Forteo

OTHER PRODUCTS
Actimmune
Arcalyst
Botox
Kuvan
Myobloc
octreotide acetate
(SANDOSTATIN)¹
Sandostatin LAR
Somatuline Depot
Somavert
Thyrogen
Vivitrol

PSORIASIS
Amevive
Enbrel
Humira
Raptiva
Remicade

PULMONARY ARTERIAL HYPERTENSION
epoprostenol sodium¹
Letairis
Remodulin
Revatio
Tracleer
Ventavis

PULMONARY DISEASE
Aralast

RENAL DISEASE
Sensipar

RESPIRATORY SYNCYTIAL VIRUS
Synagis

RHEUMATOID ARTHRITIS
Enbrel
Humira
Kineret
Orencia
Remicade

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 for specific medications available through CVS Caremark Specialty Pharmacy and CarePlus Pharmacy.

Products distributed and therapies covered by CVS Caremark Specialty Pharmacy and CarePlus Pharmacy may change or expand from time to time. In addition, your specific prescription benefit plan design may not cover certain categories, regardless of their appearance in this document. This Exclusive Network Drug List contains prescription brandname drugs that are trademarks or registered trademarks of pharmaceutical manufacturers.