Phys_inv_dl915779.pdf

SPECIALTY MEDICATIONS
available through Accredo Health Group, Inc., Medco’s specialty pharmacy
Call toll-free (800) 803-2523, 8:00 a.m. to 8:00 p.m., eastern time,
Monday through Friday, to confirm that your medication is covered.
Effective as of July 1, 2010
Abraxane® (paclitaxel protein-bound particles) BeneFIX® (coagulation factor IX [recombinant]) Berinert® (C1 esterase inhibitor [human])* Carimune® NF (immune globulin intravenous [human]) Advate® (antihemophilic factor [recombinant]) Alphanate® (antihemophilic factor [human]) AlphaNine® SD (coagulation factor IX [human]) CytoGam® (cytomegalovirus immune globulin Cytovene® IV (ganciclovir sodium)* Apokyn® (apomorphine hydrochloride) Aralast® (alpha[1]-proteinase inhibitor [human]) ATryn® (antithrombin [recombinant])* *Specialty drug is available through Accredo Health Group, Inc., Medco’s specialty pharmacy, for long-term use and through participating retail pharmacies for short-term/emergency use.
HyperRho® S/D (Rho[D] immune globulin [human])*
FEIBA® VH (anti-inhibitor coagulant complex) Increlex® (mecasermin [rDNA origin]) Flebogamma® (immune globulin intravenous [human]) Forteo® (teriparatide [rDNA origin]) Koate®-DVI (antihemophilic factor [human]) GamaSTAN® S/D (immune globulin [human])* Kogenate® FS (antihemophilic factor [recombinant]) Gammagard® Liquid (immune globulin intravenous Kuvan® (sapropterin dihydrochloride) Gammagard® S/D (immune globulin intravenous Gamunex® (immune globulin intravenous [human]) Genotropin® (somatropin [rDNA origin]) Helixate® FS (antihemophilic factor [recombinant]) Hemofil® M (antihemophilic factor [human]) Lupron Depot® (leuprolide acetate) Lupron Depot-PED® (leuprolide acetate) Hizentra™ (immune globulin subcutaneous [human]) Macugen® (pegaptanib sodium injection) H.P. Acthar® Gel (corticotropin)* MICRhoGAM® (Rho[D] immune globulin [human])*
Humate-P® (antihemophilic factor/von Willebrand Humatrope® (somatropin [rDNA origin]) Monoclate-P® (antihemophilic factor [human]) Mononine® (coagulation factor IX [human]) *Specialty drug is available through Accredo Health Group, Inc., Medco’s specialty pharmacy, for long-term use and through participating retail pharmacies for short-term/emergency use.
Profilnine® SD (factor IX complex [human]) Norditropin® (somatropin [rDNA origin]) Norditropin/Nordiflex® (somatropin [rDNA origin]) Recombinate™ (antihemophilic factor [recombinant]) NovoSeven® RT (coagulation factor VIIa [recombinant]) ReFacto® (antihemophilic factor [recombinant]) Nutropin® (somatropin [rDNA origin]) Nutropin AQ® (somatropin [rDNA origin]) Retisert® (fluocinolone acetonide) Octagam® (immune globulin intravenous [human]) Revatio® injection (sildenafil citrate) Revatio® tablets (sildenafil citrate) o[D] immune globulin [human])*
Rhophylac® (RHo[D] immune globulin intravenous
PEG-Intron® (peginterferon alfa-2b) PEG-Intron® Redipen® (peginterferon alfa-2b) Saizen® (somatropin [rDNA origin]) Privigen® (immune globulin intravenous [human]) Sandostatin® (octreotide acetate) *Specialty drug is available through Accredo Health Group, Inc., Medco’s specialty pharmacy, for long-term use and through participating retail pharmacies for short-term/emergency use.
Sensipar® (cinacalcet hydrochloride) Serostim® (somatropin [rDNA origin]) Vivaglobin® (immune globulin subcutaneous [human]) Supprelin® LA (histrelin acetate) Sutent® capsules (sunitinib malate) Wilate® (von Willebrand factor/coagulation factor VIII WinRho SDF® (Rho[D] immune globulin intravenous
Xiaflex™ (collagenase clostridium histolyticum) Tev-Tropin® (somatropin [rDNA origin]) Xyntha® (antihemophilic factor [recombinant]) Zemaira® (alpha [1]-proteinase inhibitor [human]) Treanda® (bendamustine hydrochloride) Zorbtive® (somatropin [rDNA origin]) *Specialty drug is available through Accredo Health Group, Inc., Medco’s specialty pharmacy, for long-term use and through participating retail pharmacies for short-term/emergency use.
All rights in the product names of all third-party products listed, whether or not appearing with the trademark symbol, belong exclusively to their respective owners.

Source: http://1199seiufunds.org/wp-content/uploads/2010/12/141.pdf