Pharmacy Programs

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Pharmacy Policy Search

Looking for a pharmacy policy? Find it here.

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Pharmacy Programs

Rx Processing Under Channel Alignment Program

This program helps ensure that drugs which should be billed through the pharmacy benefit are not billed under the medical benefit.

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Free Market Health

Free Market Health is an innovative new specialty pharmacy program that aligns resources, risk, and accountabilities for pharmacy referrals and reimbursement.

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Hemophilia and Bleeding Disorder Drug Program

Highmark is taking action to help members manage the high cost of hemophilia and bleeding disorder drugs.

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Medical Injectable Drug (MID) Program

Highmark partners with Free Market Health to support the Medical Injectable Drug (MID) Program.

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Pharmacy Medicare

Review the Medicare Part B Drug Website, which includes the annual Medicare Part B Drug Average Sale Price.

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Pharmaceutical Management (Clinical Management Programs)

This program is designed to safeguard patients from harmful drug interactions and side effects, optimize therapy, and promote appropriate drug utilization and compliance.

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Program for Self-Administered Injectable or Oral Biotechnology Drugs

Highmark has taken steps to help manage the rising costs of medications by requiring members to obtain certain specialty drugs through an exclusive specialty provider.

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Site of Care Drug Management Program

This program aims to improve the experience for members using certain medically billed infusion drugs that are considered safe and effective for administration outside of a hospital setting.

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