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Unity’s Specialty Injectable Program

What is a Specialty Injectable?
Specialty injectable medications are a group of self-administered injectable medications used on a chronic basis to treat various conditions. These products often have special storage handling and administration requirements, require patient adherence with the prescribed regimen, sometimes require laboratory monitoring, and generally cost more than $1,000 per month of therapy.

What is the Unity Specialty Injectable Program?

• Unity has implemented the Specialty Injectable Program to provide high quality clinical monitoring for patients using specialty injectables while keeping coverage of these products affordable.
• In the program, designated specialty injectables are only covered if obtained through a UW Health Pharmacy with prior authorization from Unity.  There are no delivery charges for standard mail or you may pick them up.

Drug classes in this program include:

• Calcium Regulators
• Growth Hormones
• Hepatitis C Agents
• Multiple Sclerosis Agents
• Tumor Necrosis Factor Antagonists (used for rheumatoid arthritis, Crohn’s disease and others)

To see if your medication is part of the program, refer to the Unity Formulary ; medications included in this program will be noted with an “SP”. Please note; this program does not apply to medications administered in the physician’s office, a hospital or other health care facility.

How to Begin Receiving Specialty Injectable Medication

1. Call the UW Health Pharmacy specialty injectable intake line at 866-894-3784.
2. Answer the pharmacy staff questions; they will then discuss delivery and pick-up options and contact your health care provider to obtain a copy of the prescription.

This program DOES NOT apply to members covered under the State of Wisconsin Health Insurance Program who have Navitus for their drug benefit.

Any Wisconsin pharmacy that is in Unity’s participating pharmacy network and can meet the terms and conditions can participate in the Unity Specialty Injectable Program.  Pharmacies may contact the Unity Pharmacy Program at 888-450-4884 for a copy of the terms and conditions or to apply to participate.

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