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SHBP and SEHBP
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Effective February 15, 2006, CVS Caremark Specialty Pharmacy is the exclusive
provider for specialty medications for the State Health Benefits Program and
School Employees' Health Benefits Program
prescription benefit plan. Specialty pharmaceuticals are a class of medications
that are typically produced through biotechnology, administered by injection,
and/or require special patient monitoring and handling. In addition, specialty
pharmaceuticals require unique education prior to use and can have distribution
procedures restricted by the manufacturer. Many of these medications require
prior authorization and are subject to dispensing limits.
If your physician has prescribed a specialty pharmaceutical, you will not be able to fill the
prescription at a retail pharmacy and the pharmacy representative will advise
you to contact CaremarkConnect at 1-800-237-2767. When calling, identify
yourself as a State Health Benefits Program or School Employees' Health
Benefits Program member. CVS Caremark will contact your physician and take care
of the appropriate paperwork. Your medication will be shipped directly to your
home, office or physician's office.
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Here are a few highlights of the benefits you can expect:
Service
- Personal attention from a pharmacist-led CareTeam that provides condition-specific
education, medication administration instruction and expert advice to help you manage your therapy
- Claims assistance to help determine your individual coverage and file the necessary paperwork
- Easy access to pharmacists and other health experts 24 hours a day, seven days a week
- Informative condition-specific materials
Convenience
- Single, reliable source for your specialty medication needs
- Easy ordering with a dedicated toll-free number
- Confidential and convenient delivery to the location of your choice
(e.g., home, physician's office, vacation spot, etc.)
- Helpful follow-up care calls to remind you when it's time to refill your
prescription, check on your therapy progress and answer any questions you may have
To take advantage of these great benefits and continue receiving coverage of
your specialty medication, you will need to transfer your specialty medication
prescription to CVS Caremark Specialty Pharmacy Services by calling 1-800-237-2767
and identify yourself as a State Health Benefits Program or School Employees'
Health Benefits Program member. For your convenience, CVS Caremark will call your
physician and take care of the appropriate paperwork. The following medications
are Specialty Pharmaceuticals. (The list is subject to change and will
be updated from time to time.)
For more information, please visit the State Health Benefits Program and School Employees' Health Benefits Program website at
www.state.nj.us/treasury/pensions/shbp.htm
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