CenterWell Pharmacy

A Smooth Transition to CenterWell Specialty Pharmacy

Older man smiling in backyard with family

Anytime we face a change related to healthcare—new physician, new pharmacy, new therapist—it can create uncertainty. Humana and CenterWell work closely to help ease the burden of change for our members and patients. And this is exactly what our CenterWell Specialty Pharmacy team did for one of our members.

Humana Medicare Advantage member Tom, 74, has used specialty medication for years for a chronic condition. Specialty medications can be very expensive, often require special handling, and are not available at traditional retail pharmacies. They are typically used to treat complex or rare conditions, such as cancer, HIV or autoimmune diseases. When Tom retired and transferred his prescriptions to CenterWell Specialty Pharmacy, he was surprised to find his monthly out-of-pocket cost for one of his prescriptions was only $5.

As part of CenterWell Specialty Pharmacy’s core processes, helping to find eligible funding for expensive therapies is imperative. The process is personalized as eligibility requirements and access to assistance can vary. CenterWell Specialty Pharmacy resource specialist staff was able to proactively enroll Tom in a copay program offered by the pharmaceutical manufacturer which helped to cover his out-of-pocket cost for the medication.

“When it comes to expensive medications, sometimes it's really hard to find help,” said Tom.

Tom shared with us that he was quite impressed with how easy it was to switch pharmacies and is pleased that CenterWell Specialty Pharmacy took the initiative to help him find resources to make his medication more affordable.

Navigating the restrictions and nuances surrounding specialty medications can be challenging. We are proud that CenterWell Specialty Pharmacy has a system in place to help our members and patients access the care they need to pursue their best health possible.

 

CenterWell Specialty Pharmacy manages therapies for chronic and complex illnesses. Patients receive clinical and educational services customized to their individual needs and treatment goals. While a subsidiary of Humana, CenterWell Specialty Pharmacy provides service to people who have pharmaceutical coverage with other insurance companies.

Other pharmacies are available in the Humana network.