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Obtaining Pharmacy Specialty Medications Update
5/7/2019 • Posted by Provider Relations

*Attention Specialty Medication Prescribers *
This notice is to provide information regarding specialty medications.  Members can obtain covered specialty drugs at any retail pharmacy in Fidelis Care’s network, as long as that retail network pharmacy accepts Fidelis Care’s specialty network terms and conditions.  If your patient has difficulty obtaining this medication from his or her preferred network pharmacy, AcariaHealth, a specialty pharmacy participating in Fidelis Care’s specialty network, can assist you with filling the prescription.  You will also be able to “buy and bill” specialty medications via AcariaHealth (Phone: 1-800-511-5144; Fax: 1-877-541-1503).  An additional specialty pharmacy in the Fidelis Care network that offers these services is CVS Specialty (Phone: 1-800-238-7828; Fax: 1-800-567-8000).  

To refer your patient for home infusion services, specifically to set up a nurse to infuse Pegfilgrastim or Infliximab, you may contact Coram Infusion Services (Phone: 1-800-522-0556).  Please complete the Specialty Pharmacy Services Enrollment Form.  The completed form may be faxed to 1-800-880-9022.  

To view the enrollment forms on our website, visit Specialty Drug Program.

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Each day, Fidelis Care's Utilization Management (UM) Department makes decisions on many health insurance claims. These decisions are based only on appropriateness of care and the existence of coverage. 

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