Mercy Care is implementing changes to specialty pharmacy for Mercy Care's Medicaid lines of business.
Effective
February 3, 2020
, specialty Medications on the
Specialty Drug List
will need to be filled at CVS Specialty Pharmacy or St. Joseph’s McAuley Pharmacy. If the medication is being filled at CVS Specialty Pharmacy and nursing services are required, CVS Specialty Pharmacy will coordinate with Coram to provide nursing services for the member.
Mercy Care has already sent letters to impacted members and CVS Specialty Pharmacy will be contacting members to facilitate the specialty prescription transfer process.
Important note:
This change
only
impacts members who are filling their medications using their Mercy Care Medicaid plan coverage
.
- Dual eligible members who fill their medications using their Medicare Advantage Prescription Drug plan coverage provided either through Mercy Care Advantage or another Medicare health plan are not affected by this change.
- Members that have other health insurance as primary are not affected by this change.
- Members that are in a long term care facility or skilled nursing facility are not affected by this change.
- Members that are filling specialty medications at a 340b/FQHC pharmacy are not affected by this change.
Additional information can also be found at the following links:
To facilitate this transition, you can send specialty prescriptions to CVS Specialty Pharmacy in one of the following ways:
- Access the CVS Specialty Pharmacy drug specific Enrollment Forms via Mercy Care website.
- Fill out the enrollment form for the members.
- Please check the box in the nursing section if nursing service is needed, this will allow CVS Specialty to secure nursing services with Coram.
- Fax the enrollment form to 1-800-323-2445.
- Call CVS Specialty at 1-800-237-2767.
- Write a prescription for patient to take to any CVS Pharmacy including those located inside Target stores.
- E-prescribe.
Please educate your members of the upcoming change and transferring their medications. If an emergent/urgent situation arises, please have the member call Member Services. Mercy Care Member Services at 602-263-3000 or toll-free 800-624-3879 (TTY/TDD 711) Monday through Friday, 7 a.m. to 6 p.m. Or, Mercy Care RBHA Member Services at 602-586-1841 or 800-564-5465 (TTY/TDD 711) anytime, 24 hours a day, 7 days a week.
Synagis, Makena, Hepatitis C medications:
Members that who are currently on any of these medications will be able to continue to fill their prescriptions at their current pharmacy. Any member that who receives a new prescription for these medications starting on February 3, 2020 must have the prescription filled through CVS Specialty Pharmacy or St. Joseph’s McAuley pharmacy.
Immune Globulin (IVIG)
: Members that who are currently on IVIG medications will be able to continue to fill their prescriptions at their current pharmacy and nursing provider until May 3, 2020. This will allow adequate time to coordinate prescription and nursing order transfer.
We appreciate your continued assistance, support and cooperation!
