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Specialty Pharmacy Program

The goal of the Harvard Pilgrim Specialty Pharmacy Program is to reduce the cost of specialty medications and maximize member and provider satisfaction by offering personalized care and service excellence.

Harvard Pilgrim’s specialty pharmacy is CVS Specialty

Pharmacy Information

CVS Specialty
Phone: 1-800-237-2767 from 7:30 a.m. to 9 p.m. (ET) Monday through Friday
Fax: 1-800-323-2445
e-Prescribe:  CVS Specialty

  • Emergency overnight or same day delivery via mail or courier
  • In-store pick-up at a CVS retail location
  • Around-the-clock telephone access to nurses and clinical pharmacists
  • Educational materials

Self-administered medications:

  • New prescriptions are ordered by the physician for shipment directly to the patient's home, office or to a CVS retail location. When CVS Specialty receives the complete prescription information, they will contact the member to collect cost share and schedule delivery of the medication.

  • The specialty pharmacy coordinates with the member to schedule refill orders.

Physician-administered medications:

  • Ordered by the physician for shipment directly to the medical office for administration.

Reimbursement

Harvard Pilgrim encourages providers to take advantage of the services provided by our Specialty pharmacy. Should you choose to obtain specialty medications through another source, reimbursement will be limited to the amount that Harvard Pilgrim has contracted with the specialty pharmacy. Contact you Provider Relations Coordinator (PRC) for rate information.