Medical Injectable Drugs Program

Highmark Delaware has a streamlined program through which all Delaware network physicians may obtain certain medical injectable drugs. Highmark has chosen Walgreens Specialty Pharmacy for this program.

Walgreens Specialty Pharmacy is open seven days a week and offers several delivery options as well as patient counseling and monitoring of your refill needs. Walgreens Specialty Pharmacy can be reached at 1-888-347-3416 or 412-231-3777. The Walgreens Specialty Pharmacy Fax number for the Pittsburgh location is 877-235-9807.

Walgreens Specialty Pharmacy bills Highmark and ships to the medical provider. Financial assistance resources are available to patients who qualify. (Please note: If a patient seeks financial assistance, this can delay delivery of the drug.)

  • List of drugs that are included in the program
  • Referral forms by therapy/drug
  • Below is the necessary information that should be provided to Walgreens Specialty Pharmacy to limit and reduce the additional outreaches to the Provider's office.
    • Patient name, address, DOB
    • Date needed
    • Diagnosis code in ICD10 format
    • Patient weight
    • Prescription Insurance Information
    • Drug name and strength
    • Directions
    • Quantity
    • Refills
    • MD Signature, address, and contact information
    • Date written
    • Allergies, Medical conditions, and concurrent medications
    • Prior authorization numbers or information if already obtained

Any other additional information required on the therapy/drug specific referral form

Last updated on 7/20/2018

 

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