Specialty Pharmacy

Specialty medications include biologics, immune globulin and other complex medications. MedRx Infusion dispenses them in each of these forms:

• Self-injected biologics, given under the skin by the patient or a caregiver after training, such as Humira (adalimumab), Enbrel (etanercept), Dupixent (dupilumab) and Cosentyx (secukinumab).
• Infused biologics, given into a vein by a healthcare professional, such as Remicade (infliximab), Entyvio (vedolizumab), Orencia (abatacept) and Ocrevus (ocrelizumab).
• Immune globulin, given intravenously (IVIG) or subcutaneously (SCIG), such as Gammagard Liquid, Privigen and Hizentra.
• Oral specialty medications, such as Rinvoq (upadacitinib), Otezla (apremilast) and antivirals for chronic hepatitis C such as Mavyret (glecaprevir and pibrentasvir).

Some specialty medications are available only through a REMS program, a safety program the FDA requires. Soliris (eculizumab) and Jynarque (tolvaptan) are two; MedRx Infusion is certified to dispense both. The list below groups MedRx's specialty medications by specialty.

The medications MedRx Infusion dispenses are FDA-approved for long-term and complex conditions, including:

• Immune deficiency: primary humoral immunodeficiency, treated with immune globulin. See IVIG for primary immunodeficiency and SCIG at home.
• Nerve and muscle conditions: chronic inflammatory demyelinating polyneuropathy (CIDP), multifocal motor neuropathy (MMN), generalized myasthenia gravis and multiple sclerosis. See IVIG for neuromuscular disorders.
• Autoimmune and inflammatory conditions: rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, systemic lupus erythematosus, Crohn's disease and ulcerative colitis. See biologic infusions at home.
• Skin conditions: plaque psoriasis, atopic dermatitis (eczema), hidradenitis suppurativa and dermatomyositis. See IVIG for autoimmune skin diseases.
• Asthma and allergy: severe asthma, chronic rhinosinusitis with nasal polyps and chronic spontaneous urticaria (long-lasting hives).
• Blood and kidney conditions: iron deficiency anemia, paroxysmal nocturnal hemoglobinuria (PNH) and autosomal dominant polycystic kidney disease (ADPKD). See iron infusion at home.
• Liver disease: chronic hepatitis B and hepatitis C.

Each medication is approved for its own conditions, and the prescriber determines which treatment is appropriate. MedRx also provides home infusion therapies such as IV antibiotics and parenteral nutrition (TPN).

MedRx Infusion's care starts before the first dose and continues with each refill:

In a specialty pharmacy, the pharmacist is part of the patient's care team, not only the person who fills the prescription. At MedRx Infusion, clinical pharmacists:

• Review each patient's medications and check for drug interactions.
• Work with the prescriber on the treatment plan.
• Counsel patients on how to use the medication and which side effects to report.
• Follow each patient's therapy from one refill to the next.

A MedRx pharmacist is available 24 hours a day, 7 days a week, at (844) 671-2600.

Patients and prescribing offices usually weigh the same points:

• Accreditation. Accreditation means an outside organization has checked how a pharmacy works against its standards. URAC accredits MedRx Infusion as a specialty pharmacy, and the Accreditation Commission for Health Care (ACHC) accredits MedRx for specialty pharmacy, infusion pharmacy and infusion nursing services. See MedRx's accreditations.
• Licensure where the patient lives. MedRx Infusion is licensed in 43 states, the District of Columbia and Puerto Rico. See where MedRx delivers.
• Access to the medication. Some medications are dispensed only by pharmacies certified in the medication's REMS program. MedRx Infusion is certified in the REMS programs for the medications it dispenses.
• Help with coverage and cost. MedRx verifies benefits and obtains prior authorization before the first delivery, and helps patients apply for copay assistance.
• Clinical support. A pharmacist available at any hour, training for self-injected medications and, for infusions at home, home infusion nursing by a nurse MedRx arranges.

Yes, with a prescription. Any patient whose prescriber has prescribed a specialty medication can have it filled by a specialty pharmacy licensed where the patient lives. Whether the plan covers the medication at a given pharmacy depends on the plan, so MedRx checks coverage before the first delivery.

At MedRx Infusion, therapy starts with the prescriber: the office sends the prescription or a referral by phone or fax, with the referral form for the specialty. Patients can ask their prescriber to refer them, or share their contact details and MedRx's intake team will reach out to discuss care.

Each medication has its own page: what it is approved for, how it is given, and how to start. See every medication we fill.