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Innoviant Specialty Pharmacy Medication Listing

The following list shows common specialty medications managed by Innoviant's Specialty Pharmacy Program (SPP) and indicates which of Innoviant's preferred specialty pharmacy providers currently offer that specific medication. This list does not imply coverage or treatment benefits. Not all of Innoviant's plan sponsors (i.e. employers, unions, TPAs) are enrolled in the SPP, nor do they cover all products listed here. This list is a product of Innoviant, updated regularly as new medications are approved for treatment and added to the SPP.

Due to the high cost and often complex storage, delivery, and administration of these specialty medications, the Innoviant SPP limits the quantity of these medications to a one-month supply per shipment. Please note: Not all products listed here are necessarily considered at a preferred co-payment, and prior authorizations may be required.

Each of Innoviant's preferred providers may offer additional services or care management for specific therapeutic categories. We encourage you to contact the providers indicated for your specific medication(s) regarding additional assistance in the fulfillment of your prescription. Contact information for the providers associated with Innoviant's SPP include:

BioScrip Pharmacy1-877-842-5097
Prescription Solutions1-866-218-7398
Walgreens Specialty Pharmacy1-888-347-3416

For additional information regarding the SPP list or your plan's participation in this program, please consult your plan documents or contact Innoviant's customer service center at 877.559.2955. .

Note: Prescription Solutions Specialty will become effective starting November 1st, 2008.

Therapeutic Category Medication
BioScrip
Prescription
Solutions
Walgreens
Specialty
Pharmacy
Acromegaly Sandostatin / Sandostatin LAR
Age-Related
Macular Degeneration
Macugen
--
Visudyne
AnemiaAranesp
Epogen
Procrit
Ankylosing SpondylitisEnbrel
Humira
Remicade
ArthritisEnbrel
Humira
Kineret
Orencia
--
Remicade
AsthmaXolair
--
CancerEligard
Intron A
Ixempra
--
Lupron Depot
Nexavar
--
Proleukin
Rituxan
Roferon A
Theracys
Thyrogen
TICE BCG
Trelstar
VePesid
Chronic Granulomatous
Disease
Actimmune
ContraceptiveDepo-Provera
--
Crohn's DiseaseCimzia
Humira
Remicade
Enzyme Replacement
Therapy
Aldurazyme
Cerezyme
Fabrazyme
Myozyme
--
Gaucher's DiseaseZavesca
--
--
Growth HormonesGenotropin products (all)
Humatrope
Increlex
--
Norditropin
Nutropin products (all)
Saizen
Serostim
Tev-tropin
Hemophilia agentsAdvate
Alphanate
Bebulin VH
Benefix
FEIBA VH
Helixate FS
Hemofil M
Humate-P
Koate DVI
Kogenate FS
Monarc M
Monoclate P
Mononine
NovoSeven
Profilnine SD
Recombinate
Refacto
Hepatitis BBaraclude
Hepsera
--
Hepatitis CCopegus
Infergen
Pegasys
PEG-Intron
HIVFuzeon
Hypercalcemia /
Hyperparathyroidism
Sensipar
--
Immune Globulins (IV)Carimune NF
Flebogamma
Gammagard
Gammar P
Gamunex
Octagam
Polygam
InfertilityBravelle
Cetrotide
Follistim
Ganirelix
Gonal-F
Lupron
Luveris
Menopur
--
Repronex
Movement DisordersBotox
Myobloc
Multiple Sclerosis (MS)Avonex
Betaseron
Copaxone
Rebif
NeutropeniaLeukine
Neulasta
Neupogen
Osteoarthritis (OA)Euflexxa
Hyalgan
Orthovisc
Supartz
Synvisc
Pain / SpasticityLioresal Intrathecal
Prialt
PsoriasisAmevive
Enbrel
Raptiva
Remicade
Respiratory Syncytial
Virus (RSV)
Synagis
Rheumatoid Arthritis (RA)Enbrel
Humira
Kineret
Orencia
--
Remicade
SchizophreniaRisperdal Consta
ThrombocytopeniaNeumega
Ulcerative ColitisRemicade

Last Updated: December 30, 2008





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