Phys_inv_dl915779.pdf

SPECIALTY MEDICATIONS
available through Accredo Health Group, Inc., Medco’s specialty pharmacy
Call toll-free (800) 803-2523, 8:00 a.m. to 8:00 p.m., eastern time,
Monday through Friday, to confirm that your medication is covered.
Effective as of January 1, 2011
Abraxane® (paclitaxel protein-bound particles) Berinert® (C1 esterase inhibitor [human])* Carimune® NF (immune globulin intravenous [human]) Advate® (antihemophilic factor [recombinant]) Alphanate® (antihemophilic factor [human]) AlphaNine® SD (coagulation factor IX [human]) CytoGam® (cytomegalovirus immune globulin Apokyn® (apomorphine hydrochloride) Cytovene® IV (ganciclovir sodium)* Aralast® (alpha[1]-proteinase inhibitor [human]) ATryn® (antithrombin [recombinant])* BeneFIX® (coagulation factor IX [recombinant]) *Specialty drug is available through Accredo Health Group, Inc., Medco’s specialty pharmacy, for long-term use and through participating retail pharmacies for short-term/emergency use.
Humatrope® (somatropin [rDNA origin]) Feiba® VH (anti-inhibitor coagulant complex) Flebogamma® (immune globulin intravenous [human]) HyperRho® S/D (Rho[D] immune globulin [human])*
Increlex® (mecasermin [rDNA origin]) Forteo® (teriparatide [rDNA origin]) GamaSTAN® S/D (immune globulin [human])* Gammagard® Liquid (immune globulin intravenous Gammagard® S/D (immune globulin intravenous[human]) Gammaplex® (immune globulin intravenous [human]) Koate®-DVI (antihemophilic factor [human]) Gamunex® (immune globulin intravenous [human]) Kogenate® FS (antihemophilic factor [recombinant]) Genotropin® (somatropin [rDNA origin]) Kuvan® (sapropterin dihydrochloride) Glassia™ (alpha [1]-proteinase inhibitor [human]) Helixate® FS (antihemophilic factor [recombinant]) Hemofil® M (antihemophilic factor [human]) Hizentra™ (immune globulin subcutaneous [human]) Lupron Depot® (leuprolide acetate) H.P. Acthar® Gel (corticotropin)* Lupron Depot-PED® (leuprolide acetate) Humate-P® (antihemophilic factor/von Willebrand *Specialty drug is available through Accredo Health Group, Inc., Medco’s specialty pharmacy, for long-term use and through participating retail pharmacies for short-term/emergency use.
Macugen® (pegaptanib sodium injection) PEG-Intron® (peginterferon alfa-2b) MICRhoGAM® (Rho[D] immune globulin [human])*
PEG-Intron® Redipen® (peginterferon alfa-2b) Monoclate-P® (antihemophilic factor [human]) Privigen® (immune globulin intravenous [human]) Mononine® (coagulation factor IX [human]) Profilnine® SD (factor IX complex [human]) Myobloc® (botulinum toxin type B) Norditropin® (somatropin [rDNA origin]) Recombinate™ (antihemophilic factor [recombinant]) Norditropin/Nordiflex® (somatropin [rDNA origin]) NovoSeven® RT (coagulation factor VIIa [recombinant]) Retisert® (fluocinolone acetonide) Revatio® injection (sildenafil citrate) Nutropin® (somatropin [rDNA origin]) Revatio® tablets (sildenafil citrate) Nutropin AQ® (somatropin [rDNA origin]) Octagam® (immune globulin intravenous [human]) RhoGAM® (RHo[D] immune globulin [human])*
Rhophylac® (RHo[D] immune globulin intravenous
*Specialty drug is available through Accredo Health Group, Inc., Medco’s specialty pharmacy, for long-term use and through participating retail pharmacies for short-term/emergency use.
Saizen® (somatropin [rDNA origin]) Treanda® (bendamustine hydrochloride) Sandostatin® (octreotide acetate) Sensipar® (cinacalcet hydrochloride) Serostim® (somatropin [rDNA origin]) Vivaglobin® (immune globulin subcutaneous [human]) Supprelin® LA (histrelin acetate) Wilate® (von Willebrand factor/coagulation factor VIIIcomplex [human]) Sutent® capsules (sunitinib malate) WinRho SDF® (Rho[D] immune globulin intravenous
Xiaflex™ (collagenase clostridium histolyticum) Temodar® injection (temozolomide) Tev-Tropin® (somatropin [rDNA origin]) Xyntha® (antihemophilic factor [recombinant]) Zemaira® (alpha [1]-proteinase inhibitor [human]) *Specialty drug is available through Accredo Health Group, Inc., Medco’s specialty pharmacy, for long-term use and through participating retail pharmacies for short-term/emergency use.
All rights in the product names of all third-party products listed, whether or not appearing with the trademark symbol, belong exclusively to their respective owners.

Source: http://www.1199benefits.org/wp-content/uploads/2011/01/Specialty-Drug-List_Jan-2011.pdf