Hello everyone! Today, I want to take some time to address some questions that we get a lot here at Sunray Specialty Pharmacy. If you have any other questions, feel free to comment on Facebook or give us a call. Even more questions will be addressed in part 2!
What is a specialty pharmacy?
A specialty pharmacy is a pharmacy that deals with expensive and/or closely monitored medications. Sometimes, these medications need to be given by a healthcare professional. Other times, you may be able to give yourself the medication.
Why can’t I use my regular pharmacy?
All of the medications that we provide must be closely monitored by the pharmacy and your doctor. They also must be stored at proper temperatures and in the right conditions to keep the medication safe and working properly. Also, your insurance will have you use a specialty pharmacy for these special medications. We work with all of our Sunray Drugs retail locations and other pharmacies to help take care of you.
What medications are considered specialty?
There are many medications that are considered specialty. Some of common medications include (and are not limited to): Humira®, Invega Sustenna®, Vivitrol®, Remicade®, Copaxone®, Enbrel®, Stelara®, Praluent®, and Repatha®. There are many more specialty medications than what is included on this short list. If you’re not sure if your medication is a specialty medication, give us a call or send us an email through our website. We are happy to answer any questions you might have!
Will my medication be covered by my insurance?
Some medications will be immediately covered by your insurance; however, most will require a prior authorization.
Why do I have to get a prior authorization, and what is it?
Because the medications require a lot of close monitoring and they are expensive, most insurance plans will require a prior authorization for specialty medications. A prior authorization is paperwork completed by your doctor that has to be submitted to your insurance company supporting that you should be receiving this medication. The insurance company will then decide if you are ready for this medication or not based on your medical history and what medications you have taken previously for your condition.
What conditions are treated by specialty medications?
There are many conditions treated by specialty medications. Some of the most common conditions that we work to treat include and are not limited to: rheumatoid arthritis, osteoporosis, psoriasis or psoriatic arthritis, addiction, transplant, hepatitis C, HIV/AIDS, and Crohn’s Disease.
Stay tuned! We will be posting more frequently asked questions soon!