Specialty Pharmaceutical Pharmacy Benefit

Covered specialty medicine list

Members who use specialty pharmaceuticals have unique needs relating to the management of their diseases and the therapies associated with them.

To assist members who are taking a specialty pharmaceutical, Horizon BCBSNJ has contracted with pharmacies that specialize in these therapies. In addition to a high level of service, drug-/disease-specific education and support, these pharmacies provide:

  • Personal attention from a pharmacist-led team to provide condition-specific education, medication administration instruction and advice to help manage therapy.
  • Claims assistance to help determine individual coverage and file the necessary paperwork.
  • Easy access to pharmacists and other health experts 24 hours a day, seven days a week.
  • Informative condition-specific materials.
  • Easy ordering with a dedicated toll-free number.
  • Convenient delivery to the location of choice (e.g., member's home, physician's office, vacation spot, etc.).
  • Helpful follow-up care calls to remind members when it's time to refill a prescription, to check on therapy progress and answer any questions members may have.

Horizon BCBSNJ members who use certain specialty pharmaceuticals and want to minimize their cost-sharing by using in-network pharmacies, are required to obtain the prescription drugs from a participating specialty pharmacy listed below.

Participating Specialty Pharmacy Phone Number
Acaria Health 1-800-511-5144
Accredo Health Group 1-866-515-1437
Allcare Plus Pharmacy 1-508-459-3535
Avella of Deer Valley, Inc 1-844-841-5496
Bergen Pharmacy 1-888-712-3302
BioPlus Specialty Pharmacy 1-866-841-4714
BriovaRx 1-855-427-4682
Burmans Specialty Pharmacy 1-800-604-6068
Caremed Pharmaceutical Services 1-877-227-3405
City Drugs 1-855-988-4500
CVS Caremark Specialty Pharmacy 1-800-237-2767
Curexa Pharmacy 1-609-927-0390
Empire Specialty Pharmacy 1-877-236-2170
Fenny Specialty Pharmacy 1-855-344-6355
Giannotto's Pharmacy 1-855-442-6668
Glen Rock Medical Pharmacy 1-866-888-3200
Heights Pharmacy 1-201-288-0404
Kroger Specialty Pharmacy, Inc 1-855-658-9590
PANTHERx Specialty, LLC 1-855-726-8479
Parkway Pharmacy 1-866-355-7797
Prime Specialty Pharmacy 1-866-823-9575
Qualitas Pharmacy Services 1-800-242-0113
Senderra Rx Partners, LLC 1-888-777-5547
US Bio Services 1-800-400-9549
Walgreens Specialty Pharmacy 1-888-347-3416

Please note:

  • Other prescription drugs not on the Specialty Pharmaceutical List should still be obtained through participating retail or mail-service pharmacies under your prescription drug plan to obtain in-network benefits.
  • Specialty pharmaceuticals may be subject to medical necessity review.
  • The list of specialty pharmaceutical drugs may be subject to change and may be updated periodically.

Not all plans cover infertility benefits. Refer to your policy documents or contact Pharmacy Member Services at the toll-free number on the back of your Horizon BCBSNJ ID card for coverage information.