Is my drug a "specialty drug?"

To find out if your drug is a specialty drug, check the UMP Preferred Drug List. If a drug is a specialty drug, you'll see "SP" in the "Specialty Drug"  (or SPEC) column, which means you must order this prescription through UMP's specialty drug pharmacy, BioScrip (see the definition of specialty drugs). For information on how to order, see "How do I order specialty drugs?"

How much will I pay for a specialty drug?

Most specialty drugs are covered under Tier 1. However, a few are nonpreferred, and are covered under Tier 3. See "Drug Pricing Tiers" for how much you'll pay. Note: All specialty medications are limited to a 30-day maximum supply per prescription or refill.

How do I order specialty drugs?

Prescriptions for specialty drugs cannot be filled at retail pharmacies. You must order your specialty medications from BioScrip by calling 1-877-316-8921.  BioScrip Customer Service is open 24 hours a day, 7 days a week, including holidays. However, orders received after 1 p.m. Pacific Time won't be filled until the next business day.

Most specialty drugs require preauthorization; a Patient Care Coordinator will contact your provider to review the coverage criteria and authorize the prescription if the criteria are met. The Patient Care Coordinator will work with you to schedule a delivery time for the medication. If you are unable to be present for the delivery, BioScrip will deliver your medications anywhere you choose, such as to your workplace or to a neighbor. Specialty medications often require special handling and storage so someone must be present to sign for them.