Specialty Pharmacy Program
Building better outcomes. Together.
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Building better outcomes. Together.

The Specialty Pharmacy Program is designed to help faciliate the patient and physician relationship and support your treatment plans. Our program also helps patients optimize their health benefits by offering affordable sources for their specialty medications and additional clinical support programs and services specific to their condition. We want to make it easier for you and your patients to make the best use of this program. So, we've put all the information you need in one place. Within this site, you'll find:

  • A detailed explanation of what this program includes and how it works for you and your patients
  • Details about clinical programs and services within the Specialty Pharmacy Program that can increase medication adherence and may lead to better health outcomes
  • Printable information about disease states, and Pharmacy and Medical Benefit medications, that you can share with your patients
  • Information about specialty medication initiatives, dispensing pharmacies, home health care providers, drug policies, protocols and more

How does UnitedHealthcare define specialty medications?
A specialty medication typically has the following attributes:

  • The medication is relatively high-cost.
  • It may treat a rare or complex disease. (See condition list.)
  • Typically, it's an oral, inhaled, injected or infused prescription medication, and may be self-administered or given in a doctor's office, at home or in a hospital outpatient setting.
  • It may require additional, ongoing clinical oversight — including dosage and adherence monitoring.
 

Did You Know? 

Looking for medication guidelines?

All the information you need is right here.

Visit the medication index page, click on the medication, and select the "Medication Guidelines" tab to find: 

  • Drug policies
  • Administrative guide protocols
  • Step therapy/Information
  • Notification criteria
  • And more
 
 
 

Seeking a specialty pharmacy?
Enter your medication above.