Specialty Pharmacy
Careful handling and quick delivery for specialty drugs
The network specialty pharmacy fills prescriptions for specialty drugs.* These types of drugs may be injected, infused or taken by mouth. Usually, you can't get these drugs at a local retail pharmacy. They often need special storage and handling. And they need to be delivered quickly.
The network specialty pharmacy provides many helpful services, including:
- Free, secure delivery (usually within 48 hours of confirming your order)
- Delivery to your home, doctor’s office or any other place you choose
- Package tracking for prompt delivery
- Training on how to self-inject your medicine
- Flexible payment options
- Free injection supplies, such as needles, syringes, alcohol swabs, adhesive bandages and containers for needle waste
How to get started
We have several ways for you to fill a prescription through the network specialty pharmacy.**
New prescriptions: For a new prescription, your doctor can:
- Send us the prescription electronically.
- Fax your prescription to 1-866-329-2779.
- Call one of our registered pharmacists at 1-866-782-2779 (Monday through Friday, 8 a.m. to 8 p.m. ET). (TDD: 1-866-833-2779)
Or, you or the doctor can mail the prescription order to us. Please also send us a completed patient profile form (which includes our mailing address).
After we receive your prescription, your first order should ship within 48 hours. It may take longer if we need to contact your doctor about the prescription.
A personal care plan and ongoing support
Our team of experienced nurses and pharmacists helps you understand how to use your medicine. And that you have the right dose. They can answer your questions and help you cope with your condition throughout your therapy.
You can talk to them 24 hours a day, 7 days a week, at 1-866-782-2779. If you use a telephone device for the deaf (TDD), call 1-877-833-2779.
Get extra support for your complex medical condition
Skilled nurses and pharmacists from the network specialty pharmacy offer extra support to patients with complex medical conditions, including:
- Anemia
- Asthma
- Cancer
- Chronic renal failure
- Crohn's disease
- Deep vein thrombosis
- Gaucher disease
- Growth hormone deficiency
- Hematologic conditions
- Hemophilia
- Hepatitis
- HIV/AIDS
- Immune system disorders
- Infertility
- Multiple sclerosis
- Neurologic conditions
- Osteoarthritis
- Pain
- Psoriasis
- Pulmonary diseases
- Respiratory syncytial virus (RSV)
- Rheumatoid arthritis
- Transplant
How to be sure your drugs are covered
- Get your specialty drugs from a participating network specialty pharmacy.
- Some of the drugs are covered under your medical plan, rather than your pharmacy plan. Depending on your medical plan, you may need to pay a copayment or coinsurance.
- Some of the drugs require precertification. This means they will not be covered unless your doctor asks us to approve the use of this drug for you, and we decide that your situation meets our criteria for using this drug.
Our specialty pharmacy is URAC accredited
URAC is an independent, non-profit health care accrediting organization dedicated to promoting health care quality through accreditation, education, and measurement.
*Specialty medications through Aetna Specialty Pharmacy and the Specialty Pharmacy Network may not be available to California HMO members. Talk to you doctor about the appropriate way to get the specialty medications you need. Doctors may have agreed to dispense and administer these drugs to you themselves. Or they may write a prescription so you can fill them at any participating retail or mail-order pharmacy.
** In California: The entire Aetna Specialty CareRx program does not apply if you are a member of a self-funded HMO plan. If you aren’t sure what type of plan you have, check with your employer; or call Member Services at the toll-free number on your Aetna ID card.
