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 NameAvailability Status at Care New England Specialty PharmacyAvailability Status at CVS Specialty PharmacyAvailability Status at Lifespan Specialty Pharmacy
ABIRATERONE ACETATExxx
ABRAXANExx
ACTEMRAxxx
ACTIMMUNExx
ADAKVEOxxx
ADBRYxxx
ADCETRISxxx
ADCIRCAxx
ADEMPASxx
ADUHELMxx
ADVATExxx
ADYNOVATExxx
AFINITORxxx
AFSTYLAxxx
ALDURAZYMExx
ALECENSAxxx
ALFERON Nx
ALPHANATExxx
ALPHANINE SDxxx
ALPROLIXxxx
ALUNBRIGxx
ALYQxx
AMBRISENTANxx
AMPYRAxx
APOKYNx
APOMORPHINE HYDROCHLORIDE INJx
ARALAST NPxx
ARANESPxxx
ARCALYSTx
ARZERRAx
ASCENIVxx
ASPARLASx
AUBAGIOx
AUSTEDOxxx
AVASTINxxx
AVEEDx
AVONEXxxx
AVSOLAxxx
AYVAKITx
AZACITIDINExxx
BAFIERTAMxx
BALVERSAx
BAVENCIOx
BELEODAQxxx
BELRAPZOxxx
BENDAMUSTINE HYDROCHLORIDxxx
BENDEKAxxx
BENEFIXxxx
BENLYSTAxxx
BEOVUxxx
BERINERTxx
BESPONSAxxx
BESREMIx
BETASERONxxx
BETHKISxxx
BEXAROTENE CAPxxx
BEXAROTENE GELx
BIVIGAMxx
BLINCYTOxx
BORTEZOMIBxxx
BORTEZOMIB FOR INJx
BOSENTANxxx
BOSULIFxxx
BRAFTOVIxxx
BRINEURAx
BRONCHITOLx
BRUKINSAxx
BUPHENYLxxx
BYNFEZIA PENxx
CABLIVIxx
CABOMETYXxxx
CALQUENCExx
CAPECITABINExxx
CARIMUNEx
CAYSTONxx
CEPROTINx
CERDELGAxx
CEREZYMExx
CETRORELIXxxx
CETROTIDExxx
CHORIONIC GONADOTROPINxxx
CIBINQOxxx
CIMZIAxxx
CINACALCETxxx
CINQAIRxxx
CINRYZEx
CLOVIQUExx
COAGADEXxx
COMETRIQxxx
COPAXONExxx
COPIKTRAxxx
CORIFACTxxx
CORTROPHINx
COSELAxx
COSENTYXxxx
COTELLICxxx
CRYSVITAxx
CUPRIMINExxx
CUTAQUIGxxx
CUVITRUx
CYRAMZAxxx
CYSTAGONx
CYTOGAMxxx
DACOGENx
DALFAMPRIDINExxx
DARZALEXxx
DAURISMOxxx
DECITABINExx
DEFERASIROXxx
DEFERIPRONExx
DEFEROXAMINExxx
DEPEN TITRAx
DESFERALxxx
DIMETHYL FUMARATExxx
DOJOLVIx
DOPTELETxxx
D-PENAMINExx
DROXIDOPAxx
DUOPAx
DUPIXENTxxx
EGRIFTAx
ELAHEREx
ELAPRASExx
ELELYSOxxx
ELIGARDxxx
ELOCTATExxx
EMPLICITIxxx
ENBRELxxx
ENDARIxx
ENHERTUxxx
ENJAYMOxxx
ENSPRYNGxxx
ENTYVIOxxx
EPCLUSAxxx
EPIDIOLEXxx
EPOGENxxx
EPOPROSTENOLxx
ERBITUXxxx
ERIVEDGExxx
ERLEADAxxx
ERLOTINIB HYDROCHLORIDExxx
ERWINAZEx
ESBRIETxxx
ESPEROCTxxx
EVENITYxxx
EVEROLIMUS_ONCx
EVOMELAxx
EXJADExxx
EXKIVITYxx
EXTAVIAxxx
EYLEAxx
FABRAZYMExxx
FARYDAKxx
FASENRAxxx
FEIBAxxx
FENSOLVIxxx
FERRIPROXx
FIBRYGAxx
FIRAZYRxxx
FIRMAGONxxx
FLEBOGAMMAxx
FLOLANx
FOLLISTIM AQxxx
FOLOTYNxxx
FORTEOxx
FOTIVDAx
FULPHILAxxx
FUSILEVxx
FYREMADELxxx
GALAFOLDx
GAMASTAN S/Dxxx
GAMIFANTxx
GAMMAGARDx
GAMMAGARD LIQUIDxxx
GAMMAKEDxxx
GAMMAPLEXx
GAMUNEXxx
GANIRELIX ACETATExxx
GATTEXx
GAVRETOxxx
GAZYVAxxx
GENOTROPINxxx
GILENYAxxx
GILOTRIFxx
GIVLAARIx
GLASSIAxx
GLATIRAMERxxx
GLATOPAxx
GLEEVECxxx
GLEOSTINExx
GONAL-Fxxx
GRANIXxxx
HAEGARDAx
HALAVENxxx
HARVONIxxx
HELIXATEx
HEMGENIXx
HEMLIBRAxxx
HEMOFIL Mxxx
HEPAGAM Bxxx
HERCEPTINxx
HERCEPTIN HYLECTAxx
HERZUMAxx
HIZENTRAxxx
HP ACTHAR GELx
HUMATE-Pxxx
HUMATROPExxx
HUMIRAxxx
HYCAMTINxxx
HYDROXYPROGESTERONE CAPROxxx
HYPERHEP Bxx
HYPERRHO S/Dxxx
HYQVIAxxx
IBRANCExxx
ICATIBANT ACETATExxx
ICLUSIGx
IDELVIONxxx
IDHIFAxxx
ILARISxxx
ILUMYAxx
ILUVIENxx
IMATINIB MESYLATExxx
IMBRUVICAxx
IMFINZIxxx
IMLYGICx
INCRELEXx
INFLECTRAxxx
INFLIXIMABxxx
INGREZZAxx
INLYTAxxx
INQOVIxxx
INREBICxxx
INTRON Axx
IRESSAxxx
ISTODAXxxx
IXEMPRAxx
IXINITYxxx
JADENUxxx
JAKAFIxxx
JEMPERLIxx
JEVTANAxxx
JIVIxxx
KADCYLAxxx
KALBITORxx
KALYDECOxx
KANJINTIxx
KANUMAxx
KESIMPTAxxx
KEVZARAxxx
KEYTRUDAxxx
KHAPZORYxxx
KINERETxx
KISQALIxxx
KITABIS PAKxx
KOATExxx
KOGENATExxx
KOSELUGOxx
KOVALTRYxxx
KRYSTEXXAx
KUVANxx
KYNMOBIxx
KYPROLISxxx
LANREOTIDE ACETATE INJx
LAPATINIB DITOSYLATExxx
LEDIPASVIR/SOFOSBUVIRxx
LEMTRADAx
LENALIDOMIDEx
LENVIMAxxx
LETAIRISxx
LEUKINExxx
LEUPROLIDE ACETATExxx
LEVOLEUCOVORIN CALCIUMxxx
LIBTAYOx
LONSURFxxx
LORBRENAxxx
LUCENTISxx
LUMAKRASxxx
LUMIZYMExxx
LUMOXITIxxx
LUNSUMIOxx
LUPANETA PACKx
LUPRON DEPOTxxx
LYNPARZAxxx
MACUGENx
MAKENAxxx
MARGENZAxxx
MATULANEx
MAVENCLADxxx
MAVYRETxxx
MAYZENTxx
MEKINISTxxx
MEKTOVIxxx
MENOPURxxx
MICRHOGAMxx
MIGLUSTATx
MITOXANTRONExx
MONJUVIx
MONONINExx
MOZOBILxxx
MULPLETAxxx
MVASIxxx
MYLOTARGxx
NABI-HBxxx
NAGLAZYMExx
NATPARAx
NERLYNXx
NEULASTAxxx
NEUPOGENxxx
NEXAVARxxx
NEXVIAZYMExx
NINLAROxxx
NITISINONExx
NIVESTYMxxx
NORDITROPINxxx
NORTHERAxxx
NOVARELxxx
NOVOEIGHTxxx
NOVOSEVEN RTxxx
NPLATExxx
NUBEQAxxx
NUCALAxxx
NULOJIXxxx
NUPLAZIDxxx
NUTROPINxxx
NUWIQxxx
NYVEPRIAxxx
OBIZURxx
OCALIVAx
OCREVUSxxx
OCTAGAMxxx
OCTREOTIDExxx
ODOMZOxxx
OFEVxxx
OGIVRIxx
OLUMIANTxxx
OMNITROPExxx
ONCASPARx
ONTRUZANTxx
ONUREGxxx
OPDIVOxxx
OPSUMITx
ORENCIAxxx
ORENITRAMx
ORFADINx
ORGOVYXxx
ORKAMBIxx
OTEZLAxxx
OTREXUPx
OVIDRELxxx
OXBRYTAxx
OZURDEXxxx
PACLITAXEL PROTEIN-BOUNDx
PADCEVxxx
PALYNZIQxx
PANZYGAxxx
PARSABIVxx
PEGASYSxxx
PEG-INTRONxx
PEMAZYREx
PENICILLAMINExx
PERJETAxxx
PHESGOxxx
PIQRAYxxx
PIRFENIDONEx
PLEGRIDYxxx
POLIVYxxx
POMALYSTxx
PONVORYxx
PORTRAZZAxxx
POTELIGEOxx
PREGNYLxxx
PRIVIGENxxx
PROCRITxxx
PROFILNINE SDxx
PROLEUKINxxx
PROLIAxxx
PROMACTAxxx
PULMOZYMExxx
PURIXANxxx
QINLOCKx
RADICAVAx
RASUVOx
RAVICTIx
REBIFxxx
REBINYNxxx
REBLOZYLxxx
RECLASTxxx
RECOMBINATExxx
RELEUKOxxx
REMICADExxx
REMODULINx
RENFLEXISxxx
RETACRITxxx
RETEVMOxxx
RETISERTxx
REVATIOxx
REVLIMIDxx
RHOGAMxxx
RHOPHYLACxx
RIABNIxxx
RIASTAPxx
RIBAPAKxx
RIBASPHERExx
RIBAVIRINxxx
RINVOQxxx
RITUXANxxx
RITUXAN HYCELAxxx
RIXUBISxxx
ROMIDEPSINxxx
ROZLYTREKxxx
RUBRACAxxx
RUCONESTx
RUXIENCExx
RYBREVANTxx
RYDAPTxxx
RYLAZExxx
SABRILxx
SAIZENxxx
SAJAZIRx
SANDOSTATINxxx
SAPHNELOxx
SAPROPTERIN DIHYDROCHLORIDExxx
SARCLISAxxx
SCEMBLIXxxx
SEROSTIMxxx
SEVENFACTxxx
SILDENAFIL CITRATExx
SILIQx
SIMPONIxxx
SKYRIZIxxx
SKYTROFAxx
SODIUM PHENYLBUTYRATExxx
SOFOSBUVIR/VELPATASVIRxx
SOLESTAx
SOLIRISxxx
SOMATULINExxx
SOMAVERTxxx
SORAFENIB TOSYLATExx
SOVALDIxxx
SPRYCELxxx
STELARAxxx
STIMUFENDx
STIVARGAxxx
STRENSIQx
SUNITINIB MALATExxx
SUPPRELINxxx
SUSVIMOxx
SUTENTxxx
SYLVANTxxx
SYMDEKOxx
SYNAGISxxx
SYNRIBOx
SYPRINExxx
TABRECTAxxx
TADALAFILxx
TAFINLARxxx
TAGRISSOxxx
TAKHZYROxx
TALTZxxx
TALZENNAxxx
TARCEVAxx
TARGRETINxx
TASIGNAxxx
TAVALISSExx
TAZVERIKxx
TECENTRIQxxx
TECFIDERAxx
TEGSEDIx
TEMODARxx
TEMOZOLOMIDExxx
TEMSIROLIMUSxx
TEPADINAx
TEPEZZAx
TEPMETKOxx
TERIPARATIDExx
TETRABENAZINExx
TEZSPIRExx
THYROGENxx
TIBSOVOx
TIVDAKxx
TOBIxxx
TOBRAMYCINxx
TORISELxxx
TRACLEERx
TRAZIMERAxx
TREANDAxxx
TRELSTARxxx
TREMFYAxxx
TREPROSTINIL SODIUMxx
TRETTENxxx
TRIENTINE HCLxx
TRIKAFTAxx
TRIPTODURxx
TRUSELTIQxx
TRUXIMAxx
TUKYSAxx
TYKERBxxx
TYMLOSxxx
TYSABRIxx
TYVASOx
UDENYCAxxx
UKONIQx
ULTOMIRISxxx
UPLIZNAxx
UPTRAVIx
VABYSMOx
VALRUBICINxxx
VALSTARxxx
VANTASxx
VARIZIGxx
VECTIBIXxxx
VELCADExxx
VELETRIx
VENCLEXTAxx
VENTAVISx
VERZENIOxxx
VIDAZAxxx
VIEKIRA PAKxx
VIGABATRINxxx
VIJOICEx
VIMIZIMxx
VISUDYNEx
VITRAKVIxxx
VIZIMPROxxx
VONVENDIxxx
VOSEVIxxx
VOTRIENTxxx
VOXZOGOxxx
VPRIVxx
VUMERITYxx
VYNDAMAXxx
VYNDAQELxx
VYVGARTxxx
VYXEOSxx
WAKIXx
WILATExxx
WINRHOxxx
XALKORIxxx
XELJANZxxx
XELODAxxx
XEMBIFYxxx
XENAZINEx
XERMELOx
XGEVAxxx
XIAFLEXxx
XOLAIRxxx
XOSPATAx
XPOVIOx
XTANDIxxx
XYNTHAxxx
YERVOYxxx
YONDELISxxx
YONSAxxx
YUTIQx
ZALTRAPxxx
ZARXIOxxx
ZAVESCAx
ZEJULAxxx
ZELBORAFxxx
ZEMAIRAxx
ZEPATIERxxx
ZEPOSIAxxx
ZEPZELCAxxx
ZIEXTENZOxxx
ZIRABEVxxx
ZOLADEXxxx
ZOLEDRONIC ACIDxxx
ZOLEDRONIC ACIDxxx
ZOLINZAxxx
ZOMACTONxxx
ZORBTIVExxx
ZULRESSOx
ZYDELIGxxx
ZYKADIAxxx
ZYNLONTAx
ZYTIGAxx

 

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

 

#3254 Approved, 01/04/2023