Medmark is the preferred provider of 62 specialty drugs effective January 3, 2005. The Mountain State Specialty Drug Program will expand to include the following drugs effective January 1, 2006: Macugen, Enbrel, Forteo, Humira, Lioresal Intrathecal, and Prialt.

This specialty drug program is required and applicable to Mountain State Blue Cross Blue Shield lines of business to include Traditional/Indemnity and PPO/POS including Medicare Advantage PPO, but is not required for the FEP Service Benefit plan..

• Doctor's office faxes the Specialty Drug Request Form to Medmark, which serves as a prescription and authorization.
  
  
• Medmark obtains an authorization from Mountain State Blue Cross Blue Shield and verifies benefit eligibility with customer service.
  
  
• Medmark delivers the drug to the doctor's office or the member's home.
  
  
• Effective January 3, 2005, Medmark bills for the drugs listed on the specialty drug request form. The doctor's office may still bill for the office visit and administration of the drugs in accordance with Mountain State Blue Cross Blue Shield's reimbursement and medical policy.
  
  
• Medmark has registered nurses and pharmacists available 24 hours a day, 7 days a week to answer questions.
  
  
• Medmark Inc.
  500 Noblestown Rd, Suite 200
  Carnegie, PA 15106
  Phone: 1-888-347-3416
  Fax # 1-877-231-8302

The Specialty Drug Request Form is available on the Provider Forms page.