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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

April 2017

CVS Specialty Becomes New Preferred Specialty Pharmacy in July

Harvard Pilgrim is pleased to announce that we will be working with CVS Specialty pharmacy as our preferred specialty pharmacy, effective July 1, 2017.

We anticipate that our new partnership with CVS Specialty will deliver members and providers improved service and greater convenience, aid Harvard Pilgrim in ensuring the effective and appropriate use of these medications, and better manage increasing drug costs.

Specialty pharmacy services

CVS Specialty will provide specialty medications and additional education for your Harvard Pilgrim patients, and will collaborate with you on the close monitoring of their clinical response. To ease your administrative burden, CVS Specialty will manage benefit investigations, determine plan coverage, and communicate financial obligations to the patient. A pharmacist is available for emergency consultations 24 hours a day, seven days a week.

Your patients will receive personalized specialty pharmacy services, such as access to pharmacists and nurses specializing in their condition, a 24-hour-a-day on-call pharmacist, and convenient delivery to their doctor’s office, home, or a CVS pharmacy retail location.

Obtaining specialty medications

Beginning on July 1, 2017, please contact CVS Specialty to order new specialty medications or to renew specialty medications for your Harvard Pilgrim patients. All previously approved prior authorizations will remain in effect for the originally approved time frames.

You may submit an order for a specialty medication to CVS Specialty in one of the following ways:

  • Call toll-free at 800-237-2767 (from 7:30 a.m. to 9 p.m. ET)
  • E-prescribe by visiting CVS Specialty online at www.CVSspecialty.com
  • Fax your specialty prescriptions to 800-323-2445

To aid with this transition, in May, Harvard Pilgrim and CVS Specialty will send letters to members currently taking specialty medications and to providers with patients currently receiving specialty medications. The letters to physicians will provide them with a list of their Harvard Pilgrim patients currently taking a specialty medication, along with the name of the drug.

Harvard Pilgrim’s website will be updated prior to the July 1 effective date to include information on CVS Specialty. If you have any further questions about this change, please contact the Provider Service Center at 800-708-4414.

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Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator