Designated Specialty Pharmacies in 2021
To comply with member benefit terms, hospitals will be required to obtain select specialty pharmacy medications to be administered in the outpatient setting through CVS Specialty for all service dates on and after January 1, 2021. Failure to obtain medications through the designated specialty pharmacy network may result in claim denials.
The specialty pharmacy drugs required to be obtained from a designated specialty pharmacy will be posted at www.empireblue.com for reference and is subject to change. Any authorizations and UM support will continue to be managed through the member’s medical carrier.
If your hospital is interested in becoming a designated specialty pharmacy, please contact your Empire provider contracting team for more details.
October 2020 Empire Provider News