Medicaid and Commercial Limited Specialty Pharmacy Network

Searchable Limited Specialty Pharmacy Network Tool

How to use the searchable tool

Type the first few letters of the medication name into the search bar located at the top right of the table. The results will show you where that medication can be filled within Neighborhood’s Limited Specialty Pharmacy Network for Medicaid and Commercial members.
If your specialty medication does not show up on this list, Neighborhood’s Limited Specialty Pharmacy Network does not limit where it can be filled.
Specialty medications not affected by Neighborhood’s Limited Specialty Pharmacy Network include:
- HIV, Hepatitis B, and Transplant medications
- Limited Distribution medications not available within Neighborhood’s Limited Specialty Pharmacy Network
- Specialty medications not available within Neighborhood’s Limited Specialty Pharmacy Network

Definitions

Medications Within the Network: This is a list of Specialty Medications and their availability within Neighborhood’s Limited Specialty Pharmacy Network.
Care New England Specialty Pharmacy: If there is a check mark in this column, then the Specialty Medication can be filled at Care New England Specialty Pharmacy.
Lifespan Specialty Pharmacy: If there is a check mark in this column, then the Specialty Medication can be filled at Lifespan Specialty Pharmacy.
CVS Specialty Pharmacy: If there is a check mark in this column, then the Specialty Medication can be filled at CVS Specialty Pharmacy. *Please note that this is not the same as CVS or CVS/Caremark pharmacies

Specialty Medication Name	Availability Status at Care New England Specialty Pharmacy	Availability Status at CVS Specialty Pharmacy	Availability Status at Lifespan Specialty Pharmacy
ABIRATERONE ACETATE	x	x	x
ABRAXANE		x	x
ACTEMRA	x	x	x
ACTIMMUNE		x	x
ADAKVEO	x	x	x
ADBRY	x	x	x
ADCETRIS	x	x	x
ADCIRCA		x	x
ADEMPAS		x	x
ADUHELM		x	x
ADVATE	x	x	x
ADYNOVATE	x	x	x
AFINITOR	x	x	x
AFSTYLA	x	x	x
ALDURAZYME		x	x
ALECENSA	x	x	x
ALFERON N		x
ALPHANATE	x	x	x
ALPHANINE SD	x	x	x
ALPROLIX	x	x	x
ALUNBRIG	x		x
ALYQ		x	x
AMBRISENTAN		x	x
AMPYRA		x	x
APOKYN		x
APOMORPHINE HYDROCHLORIDE INJ		x
ARALAST NP		x	x
ARANESP	x	x	x
ARCALYST		x
ARZERRA		x
ASCENIV		x	x
ASPARLAS		x
AUBAGIO	x
AUSTEDO	x	x	x
AVASTIN	x	x	x
AVEED	x
AVONEX	x	x	x
AVSOLA	x	x	x
AYVAKIT			x
AZACITIDINE	x	x	x
BAFIERTAM		x	x
BALVERSA			x
BAVENCIO	x
BELEODAQ	x	x	x
BELRAPZO	x	x	x
BENDAMUSTINE HYDROCHLORID	x	x	x
BENDEKA	x	x	x
BENEFIX	x	x	x
BENLYSTA	x	x	x
BEOVU	x	x	x
BERINERT		x	x
BESPONSA	x	x	x
BESREMI			x
BETASERON	x	x	x
BETHKIS	x	x	x
BEXAROTENE CAP	x	x	x
BEXAROTENE GEL			x
BIVIGAM		x	x
BLINCYTO	x	x
BORTEZOMIB	x	x	x
BORTEZOMIB FOR INJ			x
BOSENTAN	x	x	x
BOSULIF	x	x	x
BRAFTOVI	x	x	x
BRINEURA			x
BRONCHITOL		x
BRUKINSA	x		x
BUPHENYL	x	x	x
BYNFEZIA PEN		x	x
CABLIVI	x		x
CABOMETYX	x	x	x
CALQUENCE	x		x
CAPECITABINE	x	x	x
CARIMUNE		x
CAYSTON	x	x
CEPROTIN		x
CERDELGA		x	x
CEREZYME		x	x
CETRORELIX	x	x	x
CETROTIDE	x	x	x
CHORIONIC GONADOTROPIN	x	x	x
CIBINQO	x	x	x
CIMZIA	x	x	x
CINACALCET	x	x	x
CINQAIR	x	x	x
CINRYZE		x
CLOVIQUE		x	x
COAGADEX	x	x
COMETRIQ	x	x	x
COPAXONE	x	x	x
COPIKTRA	x	x	x
CORIFACT	x	x	x
CORTROPHIN		x
COSELA	x		x
COSENTYX	x	x	x
COTELLIC	x	x	x
CRYSVITA		x	x
CUPRIMINE	x	x	x
CUTAQUIG	x	x	x
CUVITRU		x
CYRAMZA	x	x	x
CYSTAGON		x
CYTOGAM	x	x	x
DACOGEN		x
DALFAMPRIDINE	x	x	x
DARZALEX		x	x
DAURISMO	x	x	x
DECITABINE	x	x
DEFERASIROX		x	x
DEFERIPRONE		x	x
DEFEROXAMINE	x	x	x
DEPEN TITRA		x
DESFERAL	x	x	x
DIMETHYL FUMARATE	x	x	x
DOJOLVI		x
DOPTELET	x	x	x
D-PENAMINE		x	x
DROXIDOPA		x	x
DUOPA		x
DUPIXENT	x	x	x
EGRIFTA	x
ELAHERE			x
ELAPRASE		x	x
ELELYSO	x	x	x
ELIGARD	x	x	x
ELOCTATE	x	x	x
EMPLICITI	x	x	x
ENBREL	x	x	x
ENDARI	x		x
ENHERTU	x	x	x
ENJAYMO	x	x	x
ENSPRYNG	x	x	x
ENTYVIO	x	x	x
EPCLUSA	x	x	x
EPIDIOLEX		x	x
EPOGEN	x	x	x
EPOPROSTENOL	x	x
ERBITUX	x	x	x
ERIVEDGE	x	x	x
ERLEADA	x	x	x
ERLOTINIB HYDROCHLORIDE	x	x	x
ERWINAZE		x
ESBRIET	x	x	x
ESPEROCT	x	x	x
EVENITY	x	x	x
EVEROLIMUS_ONC		x
EVOMELA		x	x
EXJADE	x	x	x
EXKIVITY	x		x
EXTAVIA	x	x	x
EYLEA	x	x
FABRAZYME	x	x	x
FARYDAK		x	x
FASENRA	x	x	x
FEIBA	x	x	x
FENSOLVI	x	x	x
FERRIPROX			x
FIBRYGA	x	x
FIRAZYR	x	x	x
FIRMAGON	x	x	x
FLEBOGAMMA		x	x
FLOLAN		x
FOLLISTIM AQ	x	x	x
FOLOTYN	x	x	x
FORTEO	x		x
FOTIVDA			x
FULPHILA	x	x	x
FUSILEV		x	x
FYREMADEL	x	x	x
GALAFOLD			x
GAMASTAN S/D	x	x	x
GAMIFANT	x		x
GAMMAGARD		x
GAMMAGARD LIQUID	x	x	x
GAMMAKED	x	x	x
GAMMAPLEX		x
GAMUNEX		x	x
GANIRELIX ACETATE	x	x	x
GATTEX		x
GAVRETO	x	x	x
GAZYVA	x	x	x
GENOTROPIN	x	x	x
GILENYA	x	x	x
GILOTRIF	x		x
GIVLAARI	x
GLASSIA		x	x
GLATIRAMER	x	x	x
GLATOPA	x		x
GLEEVEC	x	x	x
GLEOSTINE	x		x
GONAL-F	x	x	x
GRANIX	x	x	x
HAEGARDA		x
HALAVEN	x	x	x
HARVONI	x	x	x
HELIXATE		x
HEMGENIX	x
HEMLIBRA	x	x	x
HEMOFIL M	x	x	x
HEPAGAM B	x	x	x
HERCEPTIN	x	x
HERCEPTIN HYLECTA	x	x
HERZUMA	x	x
HIZENTRA	x	x	x
HP ACTHAR GEL		x
HUMATE-P	x	x	x
HUMATROPE	x	x	x
HUMIRA	x	x	x
HYCAMTIN	x	x	x
HYDROXYPROGESTERONE CAPRO	x	x	x
HYPERHEP B		x	x
HYPERRHO S/D	x	x	x
HYQVIA	x	x	x
IBRANCE	x	x	x
ICATIBANT ACETATE	x	x	x
ICLUSIG			x
IDELVION	x	x	x
IDHIFA	x	x	x
ILARIS	x	x	x
ILUMYA	x		x
ILUVIEN	x	x
IMATINIB MESYLATE	x	x	x
IMBRUVICA	x		x
IMFINZI	x	x	x
IMLYGIC	x
INCRELEX		x
INFLECTRA	x	x	x
INFLIXIMAB	x	x	x
INGREZZA		x	x
INLYTA	x	x	x
INQOVI	x	x	x
INREBIC	x	x	x
INTRON A		x	x
IRESSA	x	x	x
ISTODAX	x	x	x
IXEMPRA		x	x
IXINITY	x	x	x
JADENU	x	x	x
JAKAFI	x	x	x
JEMPERLI	x	x
JEVTANA	x	x	x
JIVI	x	x	x
KADCYLA	x	x	x
KALBITOR		x	x
KALYDECO	x		x
KANJINTI	x	x
KANUMA		x	x
KESIMPTA	x	x	x
KEVZARA	x	x	x
KEYTRUDA	x	x	x
KHAPZORY	x	x	x
KINERET	x		x
KISQALI	x	x	x
KITABIS PAK		x	x
KOATE	x	x	x
KOGENATE	x	x	x
KOSELUGO	x		x
KOVALTRY	x	x	x
KRYSTEXXA		x
KUVAN		x	x
KYNMOBI	x	x
KYPROLIS	x	x	x
LANREOTIDE ACETATE INJ			x
LAPATINIB DITOSYLATE	x	x	x
LEDIPASVIR/SOFOSBUVIR		x	x
LEMTRADA		x
LENALIDOMIDE		x
LENVIMA	x	x	x
LETAIRIS		x	x
LEUKINE	x	x	x
LEUPROLIDE ACETATE	x	x	x
LEVOLEUCOVORIN CALCIUM	x	x	x
LIBTAYO	x
LONSURF	x	x	x
LORBRENA	x	x	x
LUCENTIS	x	x
LUMAKRAS	x	x	x
LUMIZYME	x	x	x
LUMOXITI	x	x	x
LUNSUMIO	x	x
LUPANETA PACK		x
LUPRON DEPOT	x	x	x
LYNPARZA	x	x	x
MACUGEN		x
MAKENA	x	x	x
MARGENZA	x	x	x
MATULANE			x
MAVENCLAD	x	x	x
MAVYRET	x	x	x
MAYZENT		x	x
MEKINIST	x	x	x
MEKTOVI	x	x	x
MENOPUR	x	x	x
MICRHOGAM		x	x
MIGLUSTAT		x
MITOXANTRONE	x	x
MONJUVI	x
MONONINE		x	x
MOZOBIL	x	x	x
MULPLETA	x	x	x
MVASI	x	x	x
MYLOTARG	x	x
NABI-HB	x	x	x
NAGLAZYME		x	x
NATPARA		x
NERLYNX		x
NEULASTA	x	x	x
NEUPOGEN	x	x	x
NEXAVAR	x	x	x
NEXVIAZYME	x	x
NINLARO	x	x	x
NITISINONE		x	x
NIVESTYM	x	x	x
NORDITROPIN	x	x	x
NORTHERA	x	x	x
NOVAREL	x	x	x
NOVOEIGHT	x	x	x
NOVOSEVEN RT	x	x	x
NPLATE	x	x	x
NUBEQA	x	x	x
NUCALA	x	x	x
NULOJIX	x	x	x
NUPLAZID	x	x	x
NUTROPIN	x	x	x
NUWIQ	x	x	x
NYVEPRIA	x	x	x
OBIZUR		x	x
OCALIVA		x
OCREVUS	x	x	x
OCTAGAM	x	x	x
OCTREOTIDE	x	x	x
ODOMZO	x	x	x
OFEV	x	x	x
OGIVRI	x	x
OLUMIANT	x	x	x
OMNITROPE	x	x	x
ONCASPAR		x
ONTRUZANT	x	x
ONUREG	x	x	x
OPDIVO	x	x	x
OPSUMIT		x
ORENCIA	x	x	x
ORENITRAM		x
ORFADIN			x
ORGOVYX	x		x
ORKAMBI	x		x
OTEZLA	x	x	x
OTREXUP	x
OVIDREL	x	x	x
OXBRYTA		x	x
OZURDEX	x	x	x
PACLITAXEL PROTEIN-BOUND			x
PADCEV	x	x	x
PALYNZIQ	x	x
PANZYGA	x	x	x
PARSABIV		x	x
PEGASYS	x	x	x
PEG-INTRON		x	x
PEMAZYRE			x
PENICILLAMINE		x	x
PERJETA	x	x	x
PHESGO	x	x	x
PIQRAY	x	x	x
PIRFENIDONE			x
PLEGRIDY	x	x	x
POLIVY	x	x	x
POMALYST	x	x
PONVORY		x	x
PORTRAZZA	x	x	x
POTELIGEO	x	x
PREGNYL	x	x	x
PRIVIGEN	x	x	x
PROCRIT	x	x	x
PROFILNINE SD		x	x
PROLEUKIN	x	x	x
PROLIA	x	x	x
PROMACTA	x	x	x
PULMOZYME	x	x	x
PURIXAN	x	x	x
QINLOCK			x
RADICAVA			x
RASUVO	x
RAVICTI		x
REBIF	x	x	x
REBINYN	x	x	x
REBLOZYL	x	x	x
RECLAST	x	x	x
RECOMBINATE	x	x	x
RELEUKO	x	x	x
REMICADE	x	x	x
REMODULIN		x
RENFLEXIS	x	x	x
RETACRIT	x	x	x
RETEVMO	x	x	x
RETISERT	x	x
REVATIO		x	x
REVLIMID	x	x
RHOGAM	x	x	x
RHOPHYLAC		x	x
RIABNI	x	x	x
RIASTAP	x	x
RIBAPAK		x	x
RIBASPHERE		x	x
RIBAVIRIN	x	x	x
RINVOQ	x	x	x
RITUXAN	x	x	x
RITUXAN HYCELA	x	x	x
RIXUBIS	x	x	x
ROMIDEPSIN	x	x	x
ROZLYTREK	x	x	x
RUBRACA	x	x	x
RUCONEST		x
RUXIENCE		x	x
RYBREVANT	x	x
RYDAPT	x	x	x
RYLAZE	x	x	x
SABRIL		x	x
SAIZEN	x	x	x
SAJAZIR			x
SANDOSTATIN	x	x	x
SAPHNELO	x		x
SAPROPTERIN DIHYDROCHLORIDE	x	x	x
SARCLISA	x	x	x
SCEMBLIX	x	x	x
SEROSTIM	x	x	x
SEVENFACT	x	x	x
SILDENAFIL CITRATE		x	x
SILIQ		x
SIMPONI	x	x	x
SKYRIZI	x	x	x
SKYTROFA		x	x
SODIUM PHENYLBUTYRATE	x	x	x
SOFOSBUVIR/VELPATASVIR		x	x
SOLESTA		x
SOLIRIS	x	x	x
SOMATULINE	x	x	x
SOMAVERT	x	x	x
SORAFENIB TOSYLATE	x		x
SOVALDI	x	x	x
SPRYCEL	x	x	x
STELARA	x	x	x
STIMUFEND	x
STIVARGA	x	x	x
STRENSIQ			x
SUNITINIB MALATE	x	x	x
SUPPRELIN	x	x	x
SUSVIMO	x	x
SUTENT	x	x	x
SYLVANT	x	x	x
SYMDEKO	x		x
SYNAGIS	x	x	x
SYNRIBO	x
SYPRINE	x	x	x
TABRECTA	x	x	x
TADALAFIL		x	x
TAFINLAR	x	x	x
TAGRISSO	x	x	x
TAKHZYRO		x	x
TALTZ	x	x	x
TALZENNA	x	x	x
TARCEVA	x	x
TARGRETIN	x	x
TASIGNA	x	x	x
TAVALISSE	x		x
TAZVERIK	x		x
TECENTRIQ	x	x	x
TECFIDERA		x	x
TEGSEDI			x
TEMODAR	x		x
TEMOZOLOMIDE	x	x	x
TEMSIROLIMUS		x	x
TEPADINA	x
TEPEZZA	x
TEPMETKO	x		x
TERIPARATIDE	x		x
TETRABENAZINE	x		x
TEZSPIRE		x	x
THYROGEN	x		x
TIBSOVO			x
TIVDAK	x	x
TOBI	x	x	x
TOBRAMYCIN		x	x
TORISEL	x	x	x
TRACLEER		x
TRAZIMERA	x	x
TREANDA	x	x	x
TRELSTAR	x	x	x
TREMFYA	x	x	x
TREPROSTINIL SODIUM	x	x
TRETTEN	x	x	x
TRIENTINE HCL		x	x
TRIKAFTA	x		x
TRIPTODUR	x		x
TRUSELTIQ	x		x
TRUXIMA	x		x
TUKYSA	x		x
TYKERB	x	x	x
TYMLOS	x	x	x
TYSABRI	x	x
TYVASO		x
UDENYCA	x	x	x
UKONIQ			x
ULTOMIRIS	x	x	x
UPLIZNA	x		x
UPTRAVI		x
VABYSMO		x
VALRUBICIN	x	x	x
VALSTAR	x	x	x
VANTAS	x	x
VARIZIG		x	x
VECTIBIX	x	x	x
VELCADE	x	x	x
VELETRI		x
VENCLEXTA	x		x
VENTAVIS		x
VERZENIO	x	x	x
VIDAZA	x	x	x
VIEKIRA PAK		x	x
VIGABATRIN	x	x	x
VIJOICE			x
VIMIZIM		x	x
VISUDYNE		x
VITRAKVI	x	x	x
VIZIMPRO	x	x	x
VONVENDI	x	x	x
VOSEVI	x	x	x
VOTRIENT	x	x	x
VOXZOGO	x	x	x
VPRIV		x	x
VUMERITY		x	x
VYNDAMAX		x	x
VYNDAQEL		x	x
VYVGART	x	x	x
VYXEOS	x	x
WAKIX		x
WILATE	x	x	x
WINRHO	x	x	x
XALKORI	x	x	x
XELJANZ	x	x	x
XELODA	x	x	x
XEMBIFY	x	x	x
XENAZINE			x
XERMELO			x
XGEVA	x	x	x
XIAFLEX	x		x
XOLAIR	x	x	x
XOSPATA	x
XPOVIO			x
XTANDI	x	x	x
XYNTHA	x	x	x
YERVOY	x	x	x
YONDELIS	x	x	x
YONSA	x	x	x
YUTIQ	x
ZALTRAP	x	x	x
ZARXIO	x	x	x
ZAVESCA			x
ZEJULA	x	x	x
ZELBORAF	x	x	x
ZEMAIRA		x	x
ZEPATIER	x	x	x
ZEPOSIA	x	x	x
ZEPZELCA	x	x	x
ZIEXTENZO	x	x	x
ZIRABEV	x	x	x
ZOLADEX	x	x	x
ZOLEDRONIC ACID	x	x	x
ZOLEDRONIC ACID	x	x	x
ZOLINZA	x	x	x
ZOMACTON	x	x	x
ZORBTIVE	x	x	x
ZULRESSO		x
ZYDELIG	x	x	x
ZYKADIA	x	x	x
ZYNLONTA	x
ZYTIGA		x	x

Last updated: January 19, 2023 @ 8:22 am

#3254 Approved, 01/04/2023