Welcome to the UK HealthCare Specialty Pharmacy. Our service is designed to improve the lives of patients within UK HealthCare who are taking high-cost and complicated medications, called specialty medications. We will work closely with you and your physician to help you succeed on your new therapy. This welcome packet will describe many of the services we offer.
The Specialty Pharmacy offers a friendly and knowledgeable staff dedicated to improving the lives of our patients. As a customer of our specialty pharmacy, you will obtain the highest degree of customer service and clinical oversight to assure that your specialty medication needs are addressed.
If you have any questions, please call us at 1-844-730-5913 (toll free).
Thank you for choosing us as your specialty pharmacy!
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UK Specialty PharmacyRoom HC201
UK Albert B. Chandler Hospital - Pavilion H800 Rose St.
Lexington KY 40536ATM, Dining, Gift Shop, Information Desk, Internet/Wi-Fi, Post Office
UK Specialty Pharmacy is a specialty pharmacy offering you support 24 hours a day, 365 days a year. We treat you as an individual and work with your care providers to create a program tailored to your specific condition.
Because we want to be sure you understand and follow your prescription guidelines, you will be provided with education regarding your medication(s) in clinic or over the phone. In addition, we will provide you with other patient education materials including medication education handouts.
We are experts in care with years of experience, and we can help you get the treatment you need.
Prescription intake: We will accept any prescription for a specialty medication. They may be provided via e-prescribing, fax, telephone or hard copy.
Insurance navigation: We will work with your insurance company to cover the cost of your medications. This is often called a “prior authorization,” “pre-approval” or “pre-certification.”
Financial assistance: Even with insurance coverage, your out-of-pocket costs may be high, depending on your insurance plan. We will work with manufacturers, advocacy programs and charities to see whether you are eligible for any financial assistance.
Clinical management program: Our pharmacists will ensure that all clinical components of your therapy are addressed, including:
- Providing education on how to take your medication, what side effects may occur and whom to contact if you have questions.
- A review of other medications you are taking and what possible interactions could occur.
- Working with your providers to optimize your medication list to improve your health.
- Monitoring of laboratory values that may be affected by the medication.
Free delivery: Our dedicated team of specialty pharmacy technicians will handle the details for shipping and delivering your specialty medications and monthly refills. Medications can be delivered to you during a visit to your UK clinic, mailed free to your home or picked up at the Kentucky Clinic Pharmacy.
Ongoing support: Our program offers monthly refill reminders, ongoing clinical monitoring and general pharmacy support to help you succeed with your medications.
UK HealthCare Specialty Pharmacy is proud to contract with the following insurance companies to provide specialty pharmacy services:
- Aetna Better Health of Kentucky
- Humana CareSource
- Humana Commercial Plans
- Kentucky Medicaid (Traditional)
- Medicare Prescription Plans (including plans through Anthem, Humana, United Health Care and others)
- Passport Health Plan
- University of Kentucky Health Plan
- WellCare of Kentucky
- And many more
Specialty medications often require a high amount of support in many different areas, including clinical monitoring, counseling, insurance navigation and financial assistance. The UK HealthCare Specialty Pharmacy is designed to improve this process for patients seen within UK HealthCare.
UK HealthCare Specialty Pharmacy has partnered with many UK clinics to assist in improving the care for patients who require a specialty medication. Our dedicated clinical pharmacists work within many clinics to provide counseling and clinical monitoring in person. We are also able to counsel and answer questions over the phone 24 hours a day.
Our Access-to-Care Technicians will work with your insurance company to cover your medications, research for financial assistance if your copay requirements are unaffordable, and coordinate the dispensing and refills of your medications. Medications will be dispensed from the Kentucky Clinic Pharmacy and can be picked up, delivered to your clinic or mailed to your home free of charge.
UK HealthCare Specialty Pharmacy has pharmacists and technicians dedicated to many areas, including oral chemotherapy, growth disorders, inflammatory bowel disease, hepatitis, multiple sclerosis, osteoporosis, psoriasis, cystic fibrosis, rheumatology and transplant. Because they are directly involved in the clinics, our staff have a distinct advantage over external specialty pharmacies: Having access to your health record and health care providers allows us to more efficiently manage these complicated medications.
A specialty medication can be defined in a variety of different ways. Medicare has perhaps the simplest definition: It states that a specialty medication is any medication that costs more than $600 a month. Other businesses, such as drug manufacturers, health providers and insurance companies, typically agree these drugs are expensive and are medically necessary to either save a life or improve the quality of a patient’s life.
Most specialty medications will cost between $2,000 and $10,000 a month, while some may cost as much as $50,000 a month. The cost to each patient will depend on what type of insurance coverage that patient has.
Specialty medications that are administered by the patient are typically either oral or injectable drugs and are often approved through the patient’s prescription insurance. Specialty medications that require an infusion are typically approved through the patient’s medical insurance and can be administered at a hospital infusion center or in the patient’s home by qualified staff. There are more than 500 specialty medications and hundreds of insurance companies, so many variations and exceptions occur.
Because of the high cost of the drugs, many insurers require that specific criteria be met before a drug is covered. These requirements often include:
- Performing a prior authorization to request coverage of the medication.
- Having a specific disease that the drug is FDA-approved to treat.
- Having a history of trying and failing cheaper medications.
- Creating high out-of-pocket costs when purchasing the medication.
- Restricting what pharmacy can dispense these medications.
A specialty pharmacy advocate such as the UK HealthCare Specialty Pharmacy is dedicated to helping you succeed with your specialty medication.