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PrecisionRx Specialty Solutions
PrecisionRx Specialty Solutions support program helps people taking specialty medications achieve the best possible results from their treatments.
Specialty Medications List
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Specialty Drug List

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Please note that this list is subject to change without notice. The inclusion of a medication on the list is not a guarantee of availability or benefits.  
 
For verification of a medication, please visit your local health plan’s web site or contact PrecisionRx Specialty Solutions at (800) 870-6419.  

Drug Name
Indication
ABRAXANE  
Cancer 
ACTHAR HP 
Infantile Spasms 
ACTIMMUNE 
Limited Distribution1 
ADAGEN 
Enzyme Replacement 
ADAGEN 
Limited Distribution1 
ADRIAMYCIN 
Cancer 
ADRUCIL 
Cancer 
ADVATE  
Hemophilia 
AGENERASE  
AIDS 
ALDURAZYME  
Enzyme Replacement 
ALFERON N 
Hepatitis/Cancer 
ALIMTA  
Cancer 
ALKERAN  
Cancer  
ALOXI  
Cancer Adjunct 
ALPHANATE (VWF) 
Hemophilia 
ALPHANINE SD  
Hemophilia 
AMEVIVE  
Psoriasis 
AMICAR  
Hemorrhage 
ANZEMET 
Cancer Adjunct 
APOKYN  
Limited Distribution1 
APTIVUS 
AIDS 
ARALAST  
Alpha-1 Antitrypsin Deficiency 
ARANESP  
Anemia 
ARCALYST 
Limited Distribution1 
AREDIA 
Cancer Adjunct 
ARIXTRA  
Anticoagulants 
ATGAM 
Transplant 
ATRIPLA 
AIDS 
AVASTIN 
Cancer  
AVONEX  
MS 
AZASAN  
Transplant 
AZATHIOPRINE  
Transplant 
BARACLUDE  
Hepatitis B 
BEBULIN VH  
Hemophilia 
BENEFIX  
Hemophilia 
BETASERON  
MS 
BICNU 
Cancer  
BLENOXANE 
Cancer 
BLEOMYCIN SULFATE 
Cancer 
BOTOX  
Cervical Dystonia 
BRAVELLE  
Infertility 
BUSULFEX 
Cancer 
CAMPATH  
Cancer  
CAMPTOSAR 
Cancer  
CARBOPLATIN 
Cancer 
CARIMUNE 
IVIG 
CASODEX  
Cancer  
CELLCEPT  
Transplant 
CEPROTIN 
Protein C Deficiency 
CEREDASE 
Gauchers 
CEREZYME 
Gauchers 
CETROTIDE  
Infertility 
CHORIONIC GONADOTROPIN 
Infertility 
CISPLATIN 
Cancer 
CLADRIBINE  
Cancer 
COMBIVIR 
AIDS 
COPAXONE  
MS 
COPEGUS  
Hepatitis C 
CRIXIVAN  
AIDS 
CYCLOPHOSPHAMIDE  
Cancer 
CYCLOSPORINE 
Transplant 
CYCLOSPORINE MODIFIED  
Transplant 
CYSTADANE 
Limited Distribution1 
CYSTAGON 
Limited Distribution1 
CYTARABINE 
Cancer  
CYTOGAM  
IVIG 
CYTOVENE 
Miscellaneous 
CYTOXAN  
Cancer  
DACARBAZINE 
Cancer 
DACOGEN 
Cancer 
DAUNOXOME 
Cancer 
DDAVP 
Hemophilia 
DELESTROGEN 
Infertility 
DEXRAZOXANE  
Cancer Adjunct 
DIDANOSINE  
AIDS 
DOXIL 
Cancer  
DOXORUBICIN HCL 
Cancer 
DTIC-DOME 
Cancer 
ELAPRASE 
Limited Distribution1 
ELIGARD  
Cancer 
ELLENCE 
Cancer 
ELOXATIN 
Cancer 
ELSPAR 
Cancer 
EMCYT  
Cancer  
EMTRIVA  
AIDS 
ENBREL  
RA/Psoriasis 
EPIRUBICIN HCL 
Cancer 
EPIVIR  
AIDS 
EPIVIR HBV 
Hepatitis B 
EPOGEN  
Anemia 
EPZICOM  
AIDS 
ERBITUX  
Cancer  
ESTRADIOL VALERATE 
Infertility 
ETHYOL  
Cancer Adjunct 
ETOPOPHOS 
Cancer  
ETOPOSIDE  
Cancer  
EUFLEXXA2 
Osteoarthritis 
EXJADE  
Limited Distribution1 
FABRAZYME  
Fabry's Disease 
FASLODEX  
Cancer  
FEIBA VH IMMUNO  
Hemophilia 
FLEBOGAMMA (DIF)  
IVIG 
FLOLAN  
Limited Distribution1 
FLOXURIDINE 
Cancer 
FLUDARA 
Cancer 
FLUDARABINE PHOSPHATE 
Cancer 
FLUOROURACIL 
Cancer 
FLUTAMIDE  
Cancer 
FOLLISTIM AQ  
Infertility 
FORTEO  
Osteoporosis 
FORTOVASE  
AIDS 
FRAGMIN  
Anticoagulants 
FUDR 
Cancer 
FUZEON  
AIDS 
GAMASTAN S/D  
IVIG 
GAMMAGARD LIQUID 
IVIG 
GAMMAGARD S/D  
IVIG 
GAMUNEX 
IVIG 
GANCICLOVIR 
AIDS 
GANIRELIX ACETATE 
Infertility 
GEMZAR  
Cancer  
GENGRAF  
Transplant 
GENOTROPIN  
Growth Hormone 
GEREF  
Miscellaneous 
GLEEVEC  
Cancer 
GOLD SODIUM THIOMALATE 
Rheumatoid Arthritis (RA) 
GONAL-F  
Infertility 
GRANISETRON HCL 
Cancer Adjunct 
HELIXATE FS  
Hemophilia 
HEMOFIL M 
Hemophilia 
HEPAGAM B 
Transplant 
HEPSERA  
Hepatitis B 
HERCEPTIN  
Cancer  
HIVID  
AIDS 
HUMATE-P  
Hemophilia 
HUMATROPE  
Growth Hormone 
HUMIRA  
RA/Psoriasis/Crohn’s Dx 
HYALGAN  
Osteoarthritis 
HYCAMTIN  
Cancer  
HYPERHEP B S/D 
Hepatitis B 
IFEX  
Cancer 
IFOSFAMIDE  
Cancer 
IMMUNE GLOBULIN  
IVIG 
IMPLANON 
Limited Distribution1 
IMURAN  
Transplant 
INCRELEX  
Primary IGF-1 Deficiency 
INFERGEN  
Hepatitis C 
INNOHEP  
Anticoagulants 
INTELENCE 
AIDS 
INTRON-A  
Hepatitis C 
INVIRASE  
AIDS 
IRESSA  
Limited Distribution1  
IRINOTECAN 
Cancer 
ISENTRESS 
AIDS 
IVEEGAM EN  
IVIG 
IXEMPRA 
Cancer 
KALETRA  
AIDS 
KEPIVANCE  
Limited Distribution1 
KINERET  
Rheumatoid Arthritis (RA) 
KOATE-DVI  
Hemophilia 
KOGENATE FS (BIO-SET) 
Hemophilia 
KUVAN 
Phenylketonuria 
KYTRIL 
Cancer Adjunct 
LETAIRIS 
Pulmonary Arterial Hypertension (PAH) 
LEUCOVORIN CALCIUM 
Cancer Adjunct 
LEUKINE  
Cancer Adjunct 
LEUPROLIDE ACETATE 
Cancer 
LEUSTATIN  
Cancer  
LEXIVA  
AIDS 
LOVENOX  
Anticoagulants 
LUCENTIS 
Macular Degeneration 
LUPRON DEPOT 
Endometriosis/Cancer 
LUPRON DEPOT-PED 
Precocious Puberty 
LUVERIS 
Infertility 
LYSODREN  
Cancer 
MACUGEN 
Macular Degeneration 
MENOPUR  
Infertility 
MERCAPTOPURINE 
Cancer 
MESNA  
Cancer Adjunct 
MESNEX  
Cancer Adjunct 
METHOTREXATE  
Cancer/Rheumatoid Arth. 
MIACALCIN 
Osteoporosis 
MICROHOGAM  
Immune Globulin 
MIRENA 
Birth Control (IUD) 
MITOXANTRONE HCL 
Cancer 
MONARC-M  
Hemophilia 
MONOCLATE-P  
Hemophilia 
MONONINE  
Hemophilia 
MUSTARGEN 
Cancer  
MYFORTIC  
Transplant 
MYLERAN 
Cancer 
MYLOTARG  
Cancer  
MYOBLOC  
Cervical Dystonia 
MYOCHRYSINE  
Cancer  
MYOZYME 
Enzyme Replacement 
NABI-HB 
Hepatitis B 
NAGLAZYME  
Limited Distribution1 
NAVELBINE 
Cancer  
NEBUPENT 
AIDS 
NEORAL 
Transplant 
NEULASTA  
Cancer Adjunct 
NEUMEGA  
Cancer Adjunct 
NEUPOGEN  
Cancer Adjunct 
NEXAVAR  
Cancer 
NIPENT 
Cancer  
NORDITROPIN  
Growth Hormone 
NORVIR  
AIDS 
NOVANTRONE  
Cancer 
NOVAPLUS NABI-HB 
Hepatitis B 
NOVAREL  
Infertility 
NOVOSEVEN  
Hemophilia 
NPLATE 
Chronic ITP 
NUTROPIN (AQ) 
Growth Hormone 
OCTAGAM  
IVIG 
OCTREOTIDE ACETATE 
Acromegaly 
OMNITROPE 
Growth Hormone 
ONCASPAR  
Cancer 
ONDANSETRON HCL 
Cancer Adjunct 
ONTAK  
Cancer  
ONXOL  
Cancer  
ORENCIA 
Rheumatoid Arthritis 
ORFADIN 
Limited Distribution1 
ORTHOCLONE OKT3 
Transplant 
ORTHOVISC 
Osteoarthritis 
OVIDREL  
Infertility 
PACLITAXEL 
Cancer 
PAMIDRONATE DISODIUM 
Cancer Adjunct 
PANGLOBULIN  
IVIG 
PARAPLATIN  
Cancer  
PEGASYS  
Hepatitis C 
PEG-INTRON  
Hepatitis C 
PENTAMIDINE 
AIDS 
PENTOSTATIN 
Cancer 
PHOTOFRIN  
Cancer  
PLATINOL AQ 
Cancer 
PLENAXIS  
Cancer  
POLYGAM S/D  
IVIG 
PREGNYL  
Infertility 
PREZISTA 
AIDS 
PRIALT 
Pain 
PRIVIGEN 
IVIG 
PROCHIEVE 
Infertility 
PROCRIT  
Anemia 
PROFASI HP 
Infertility 
PROFILNINE SD 
Hemophilia 
PROGESTERONE 
Infertility 
PROGRAF 
Transplant 
PROLASTIN  
Limited Distribution1 
PROLEUKIN  
Cancer  
PROPLEX SX  
Hemophilia 
PULMOZYME  
Cystic Fibrosis 
PURINETHOL 
Cancer 
RAPMUNE  
Transplant 
RAPTIVA  
Psoriasis 
REBETOL  
Hepatitis C 
REBIF  
MS 
RECLAST 
Hypercalcemia 
RECOMBINATE  
Hemophilia 
REFACTO  
Hemophilia 
REFLUDAN  
Anticoagulants 
REMICADE  
RA/Psoriasis/Crohn’s Dx 
REMODULIN  
Limited Distribution1 
REPRONEX  
Infertility 
RESCRIPTOR  
AIDS 
RESPIGAM  
RSV Prevention 
RETROVIR  
AIDS 
REVATIO 
PAH 
REVLIMID 
Cancer 
RHEUMATREX 
Cancer/Rheumatoid Arth. 
RHOGAM  
Immune Globulin 
RHOPHYLAC  
Immune Globulin 
RIBAPAK 
Hepatitis C 
RIBASPHERE  
Hepatitis C 
RIBATAB 
Hepatitis C 
RIBAVIRIN  
Hepatitis C 
RITUXAN  
Cancer/Rheumatoid Arth.  
ROFERON-A  
Hepatitis C 
SAIZEN  
Growth Hormone 
SANDIMMUNE  
Transplant 
SANDOSTATIN 
Acromegaly 
SANDOSTATIN LAR DEPOT 
Acromegaly 
SELZENTRY 
AIDS 
SENSIPAR  
Cancer Adjunct 
SEROSTIM  
AIDS 
SOLIRIS 
PNH 
SOMATULINE DEPOT 
Acromegaly 
SOMAVERT  
Limited Distribution1 
SPRYCEL 
Cancer 
STIMATE  
Hemophilia 
SUPARTZ  
Osteoarthritis 
SUPPRELIN LA 
Precocious Puberty 
SUSTIVA  
AIDS 
SUTENT  
Cancer 
SYNAGIS  
RSV Prevention 
SYNAREL  
Precocious Puberty 
SYNVISC2  
Osteoarthritis 
SYPRINE 
Wilson’s Disease 
TABLOID  
Cancer 
TARCEVA  
Cancer 
TARGRETIN  
Cancer  
TAXOL 
Cancer 
TAXOTERE  
Cancer  
TEMODAR  
Cancer  
TEV-TROPIN  
Growth Hormone 
THALOMID  
Cancer  
THERACYS  
Cancer  
THYMOGLOBULN  
Transplant 
THYROGEN  
Cancer 
TIKOSYN  
Atrial fib/flutter 
TOBI  
Cystic Fibrosis 
TOPOSAR 
Cancer 
TORISEL 
Cancer 
TRACLEER  
Limited Distribution1 
TRELSTAR  
Cancer  
TRETINOIN 
Cancer 
TREXALL  
Cancer 
TRIZIVIR  
AIDS 
TRUVADA  
AIDS 
TYKERB 
Cancer 
TYSABRI 
MS/Crohn’s Dx 
VALCYTE  
AIDS 
VANTAS 
Cancer 
VENTAVIS 
Limited Distribution1 
VESANOID 
Cancer  
VIADUR  
Cancer  
VIDAZA  
Cancer  
VIDEX  
AIDS 
VINBLASTINE SULFATE 
Cancer 
VINCASAR PFS  
Cancer 
VINCRISTINE SULFATE 
Cancer 
VINORELBINE TARTRATE 
Cancer 
VIRACEPT  
AIDS 
VIRAMUNE  
AIDS 
VIREAD  
AIDS 
VISTIDE  
AIDS 
VISUDYNE 
Macular Degeneration 
VIVAGLOBIN 
IVIG 
VIVITROL 
Alcohol Dependency 
WINRHO SDF 
IVIG 
XELODA  
Cancer  
XOLAIR  
Asthma 
XYNTHA 
Hemophilia 
XYREM 
Limited Distribution1 
ZANOSAR  
Cancer  
ZAVESCA  
Limited Distribution1 
ZEMAIRA  
Limited Distribution1 
ZENAPAX  
Transplant 
ZERIT  
AIDS 
ZIAGEN  
AIDS 
ZIDUVUDINE 
AIDS 
ZINECARD  
Cancer Adjunct 
ZOFRAN 
Cancer Adjunct 
ZOLADEX  
Cancer  
ZOLINZA 
Cancer 
ZOMETA  
Hypercalcemia 
ZORBTIVE  
Short bowel syndrome 
1Limited Distribution – Please call 800-870-6419 for information on how to obtain. 
2PRxSS preferred medication 
“Preferred” medications are determined based upon PrecisionRx Specialty Solutions’ review of the clinical benefits and economic value of medications. Each patient should review their benefit plan to understand the actual cost share impact to them.
PrecisionRx Specialty Solutions may receive payments from manufacturers whose medications are listed as preferred. These payments may or may not be shared with the customer’s benefit plan depending upon the contractual arrangement between the plan and PrecisionRx Specialty Solutions.
Depending upon plan design, market conditions, the extent to which manufacturer’s payments are shared with the member’s benefit plan, and other factors as of the date of service, the preferred medication may or may not represent the lowest cost medication within the therapeutic class for the member and/or the benefit plan.
 

PrecisionRx Specialty Solutions is a pharmacy and department of NextRx, LLC, formerly known as Anthem Prescription Management, LLC.

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al número de servicio al cliente: 1-800-870-6419.