Additional Drugs Designated as Voluntary for Highmark’s Medical Injectable Drug Program

Effective Jan. 1, 2026, Highmark is designating additional drugs as voluntary for the Medical Injectable Drug Program.

Highmark continually evaluates the program and makes changes as appropriate. When drugs are added as voluntary, this means physicians may choose to purchase and bill Highmark directly for those drugs and will receive reimbursement as outlined in the program.

Please use Availity Essentials^® to access the proposed rate on the effective date for each drug listed below:

*Applicable Site of Care (SOC) rates apply only to Home Infusion Therapy (HIT) and Ambulatory Infusion Suites (AIS) providers.

Accessing Fee Schedules

Once you log into Availity, select Claims & Payments from the task bar and then Fee Schedule Listing from the right side. You can also access fee schedules by going to Payer Spaces in Availity, and then select Provider Resource Center (PRC) under Applications. Once you arrive at the PRC, choose Claims & Authorization and then click Fee Schedule Information.