Specialty Preferred Products Program - Providers
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UMWA Health and Retirement Funds

Specialty Preferred Products Program - Providers

 

The Funds currently participates in a Specialty Preferred Products Program. The program requires use of a
preferred product in four (4) categories before a non-preferred medication will be covered. The four categories of medications are Autoimmune, Growth Hormones, Hepatitis C, and Multiple Sclerosis. To see the complete list of specialty drugs covered under the program, click the Specialty Preferred Products Program link below.
 
The Funds also has a Generics First Specialty Preferred Products Program in four specialty drug classes. These classes are Cystic Fibrosis, Hepatitis C, Oncology, and Pulmonary Arterial Hypertension (PAH). To see the complete list of specialty drugs covered under the program, click the Specialty Preferred Products Program link below.

 

The Funds recognizes that there may be beneficiaries for whom the preferred medications do not work, or are otherwise not clinically appropriate, and for whom the non-preferred drug is the best option. In those cases, non-preferred drugs may be requested through the prior authorization process. When a prior authorization is needed, please contact the CVS/caremark Specialty Guideline Management Department toll-free at 1-866-814-5506 to obtain approval.
 
If you would like to fax a new prescription directly to or have any further questions regarding CVS/caremark
Specialty Pharmacy, you may call them toll-free at 1-866-814-5506.
 
Click to review the
 
Click to review the
 
Generics First Specialty Preferred Product Program Drug List