Your plan for better healthSM1

Self-administered Injectable Medications


BCBSNC provides coverage under its prescription drug benefit for self-administered injectable medications.

Specialty medications covered under the pharmacy benefit must be filled by a retail or mail order pharmacy participating in the Retail specialty drug network. These medications are marked with an asterisk (*).

Medical supervision and/or instruction may be required for certain injectable products. Some self-administered medications may be covered either by pharmacy or medical benefits. Review our medical policy updates page for more information, or call Customer Service at the number on your BCBSNC ID card.

Injectable medications list

These injectable medications are covered under the pharmacy OR medical benefit:

  Acthar®
  Apokyn TM
  AquaMephyton®
*Aranesp®
*Bravelle®
  Butorphanol
  Calcijex®
*Cetrotide®
*Chorionic Gonadotropin
  DDAVP®
  D.H.E-45®
  Delatestryl®
  Delestrogen®
  Depo-Estradiol®
  Depo-Provera® 150
  Depo-SubQ Provera 104 TM
  Depo-Testosterone®
  Desmopressin
  Dihydroergotamine
*Eligard®
  Epipen®
*Epogen®
  Faslodex®
*Fertinex®
*Follistim®, Follistim® AQ
*Fuzeon TM
  Ganirelix acetate
*Gonal-F®, Gonal-F RFF®
  Glucagon
  Heparin
  Insulins (e.g. Humulin®, Novolin®)
*Intron A®
  Ketorolac
  Kestrone®
*Leukine®
  Luveris®
  Medroxyprogesterone for contraception
*Menopur®
  Methotrexate 25 mg/ml
*Neulasta®
*Neupogen®
*Novarel®
*Ovidrel®
*Pergonal®
*Pregnyl®
*Procrit®
*Profasi®
  Progesterone in oil
*Repronex®
*Roferon-A®
*Sandostatin® - Not Sandostatin-LAR®
  Stadol®
  Testosterone injections - not Testopel
  Testosterone cypionate
  Testosterone propionate
  Twinject TM
  Vitamin B12 injections
  Vitamin D products
  Vitamin K products
  Zemplar®



Certain self-administered drugs are ONLY covered under the prescription drug benefit and are excluded from the BCBSNC's medical benefit. While members have the freedom to self-administer these medications, they can still take the medications to their doctor's office, where they can receive training on how to self-administer them. The following self-administered medications are covered under BCBSNC's prescription drug benefit but are excluded from the medical benefit.

(This list is current as of June 1, 2007 and is subject to change. As new self-administered medications become available, they will be added to this list as quickly as possible and excluded from the medical benefit.)

*Actimmune
*Arixtra
*Avonex
*Betaseron
  Byetta
  Calcitonin
  Caverject
*Copaxone
  Edex
*Enbrel
*Forteo
*Fragmin
*Genotropin
*Humatrope
*Humira
  Imitrex
  Increlex
*Infergen
*Innohep
  iPlex
*Kineret
*Leuprolide Acetate (subcutaneous)
*Lovenox
*Lupron (subcutaneous)
  Miacalcin
  Muse
*Neumega
*Norditropin
*Nutropin
  NuvaRing
*Omnitrope
*Pegasys
*Peg-Intron
*Protropin
*Raptivav
*Rebetron
*Rebif
*Saizen
*Serostim
  Somavert
  Supprelin
  Symlin
*Tev-Tropin



*Specialty drug needs to be filled at a participating Retail Specialty Pharmacy

top