Specialty Pharmacies
Specialty pharmacies provide focused care for patients with complex medical needs.
Specialty drugs are used to treat complex, chronic conditions such as cancer, rheumatoid arthritis, and multiple sclerosis. These medications may be taken orally, by injection, or infusion, and often require special handling.
Network specialty pharmacies
Your plan may require you to get certain specialty medications from one of our approved specialty pharmacies to have them covered. This applies to medicines you take on your own. See the lists below for specialty medications and pharmacies.
- List of specialty medicationsOpen a PDF that could be purchased from a specialty pharmacy
- National Preferred Formulary list of specialty medicationsOpen a PDF that must be purchased from a specialty pharmacy
- List of specialty pharmaciesOpen a PDF that can be used for drugs covered under the pharmacy benefit (self-administered)
Convenient, personalized service
With one toll-free call, specialty pharmacies can:
- Enroll you in their program
- Coordinate with your doctor for prescriptions
- Arrange home delivery
Additional services include:
- Easy refills, reminders, and online ordering
- Education and counseling programs on how to safely and effectively take your medication
- 24/7 access to pharmacists and medical professionals
- Coordination of care with your doctor
Next steps
The enrollment process is simple:
- You or your doctor can contact the participating specialty pharmacy to enroll
- If you initiate contact with the specialty pharmacy, they will contact your doctor’s office for a new prescription
- The specialty pharmacy can then contact you to provide disease and drug specific education and arrange shipment of the medication
Blue Choice Option, HMOBlue Option, and Blue Option Plus members:
As of April 1, 2023, Medicaid members enrolled in Blue Choice Option, HMO Blue Option, and Blue Option Plus will receive their prescription medications through NYRx, the Medicaid Pharmacy Program.
Learn more about the transition of the pharmacy benefit from Blue Choice Option, HMO Blue Option, and Blue Option Plus to NYRx, the Medicaid Pharmacy Program.
Access general information about NYRx, the Medicaid Pharmacy Program, along with additional information for Members and Providers.