OptumRx | optumrx.com BriovaRx ® , the OptumRx ® specialty pharmacy, provides comprehensive support services, including access to pharmacists around the clock, for high-cost oral and injectable medications used to treat rare and complex conditions. In addition, your medications will be shipped to you at no extra cost. Specialty pharmacy drug list Effective January 1, 2017
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OptumRx | optumrx.com
BriovaRx®, the OptumRx® specialty pharmacy, provides comprehensive support services, including access to pharmacists around the clock, for high-cost oral and injectable medications used to treat rare and complex conditions. In addition, your medications will be shipped to you at no extra cost.
Specialty pharmacy drug list
Effective January 1, 2017
Characteristics of specialty medications
“Specialty” medications are defined as high-cost oral or injectable medications used to treat rare and complex conditions. These are highly complex medications, typically biology-based, that structurally mimic compounds found within the body. Medications must have at least one of the following characteristics in order to be classified as a specialty medication by BriovaRx:
High cost• Typically priced at more than $1,000 per 30-day supply.
High complexity• Biotechnology products†
• Medications that treat ultra rare conditions
• Medications that are included in a specialty therapeutic drug class strategy
High-touch medications that require:• Temperature control or other special handling and shipping requirements
(e.g., refrigerated or frozen shipping)
• Ongoing management by a pharmacist and/or physician specializing in treating the condition
• Focused, in-depth education including how to administer injections, adhere to the treatment protocol, and manage side effects
† Protein or protein-based molecular entities
Specialty pharmacy drug list
Specialty pharmacy drug list
Alpha-1
Glassia PA
Ammonia detoxicants
Ravicti PA
Antilipemic agents
Juxtapid PA
Kynamro PA
Repatha PA, ST
Antiviral
ActimmuneAdefov DipivAlferon NBaracludeCopegus PA
Daklinza PA, ST
Epclusa PA, ST
HepseraInfergen PA
Intron-A PA
Olysio PA, ST * Pegasys PA *
Peg-Intron PA Rebetol PA Ribapak PA Ribasphere PA Ribatab PA Ribavirin PA * Sovaldi PA, ST * Synagis PA
Tyzeka Victrelis PA, ST
Viekira XR PA
Zepatier PA
Asthma
Xolair PA
Birth control
Implanon Mirena Nexplanon
Cancer
Abraxane
Adcetris PA Adriamyc Adriamycin Adrucil Afinitor PA Afinitor Dis PA Alecensa PA Alimta Alkeran Amifostine Arranon Arzerra PA
Avastin Azacitidine Bendeka Bicnu
Bleomycin Bosulif ST Busulfex Cabometyx PA
Camptosar
Capecitabine Caprelsa PA Carboplatin Cerubidine Cisplatin Cladribine Clolar Cometriq PA Cosmegen Cyclophosph Cyclophospha Cytarabine Dacarbazine Dacogen PA Dactinomycin Daunorubicin Daunoxome Decitabine PA Dexrazoxane Docefrez Docetaxel Doxil Doxorubicin Eligard PA, ST Ellence Eloxatin Elspar Epirubicin Erbitux PA
Erivedge PA
ErwinazeEthyolEtopophosEtoposideEvomela FaslodexFirmagon PA
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. BriovaRx is our specialty pharmacy. Our high-quality, integrated services deliver optimal member outcomes, superior savings and outstanding customer service. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.
To fill a prescription for a specialty medication on this list, please call 1-866-218-7398 or visit optumrx.com.
This specialty pharmacy drug list may not be a complete representation of all available specialty medications; this list is subject to change at any time without prior notice.
Non-specialty alternatives may be a recommended first-line therapy to treat your condition. Please consult your physician.
All Optum® trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners.