Specialty Pharmacy Notice
Should a member wish to receive a specialty pharmacy drug from an in-network retail pharmacy rather than US Bioservices Specialty Mail Order pharmacy, they may choose any pharmacy in the plan's retail network as long as that retail pharmacy is willing to accept comparable pricing. If a member selects a retail pharmacy that has not requested to be in the plan's Specialty Pharmacy Network, and has not accepted comparable pricing, then the pharmacy should still attempt to adjudicate the claim. If the pharmacist is having difficulty processing a claim at the point-of-sale transaction, they should use the telephone number indicated on the reject message for further processing of the point-of-sale transaction. For a complete list of VNSNY CHOICE SelectHealth formulary drugs, please refer to the VNSNY CHOICE SelectHealth Formulary and VNSNY CHOICE SelectHealth Formulary Changes.