Specialty Drug Benefits

Blue Cross and Blue Shield of Nebraska’s (BCBSNE) Specialty Drug Benefit program provides a convenient, cost-effective way for you to order specialty medications for delivery directly to your home or physician’s office. Specialty medications are typically self-administered injectable drugs used to treat serious or chronic medical conditions such as multiple sclerosis, hemophilia, hepatitis and rheumatoid arthritis.

BCBSNE's Specialty Pharmacy Program Drug List outlines the products designated as specialty medications.


How to Enroll

All BCBSNE members*

To receive benefits under your BCBSNE prescription drug plan, all BCBSNE members may purchase their specialty medications through AllianceRx Walgreens Prime, a specialty pharmacy.

To participate in this program, complete this referral form or call 1-877-627-6337. Learn more.


Individual members and fully-insured group members*

Individual members, as well as fully-insured group members, may use AllianceRx Walgreens Prime, Option Care pharmacies in Nebraska or The Nebraska Medical Center Specialty Pharmacy.

To participate in the AllianceRx Walgreens Prime program, complete this referral form or call 1-877-627-6337. Learn more.

To enroll with Option Care, please call 1-800-279-0980.

To enroll with The Nebraska Medical Center Specialty Pharmacy, please call 1-855-299-9283.


*If you are unsure of which plan you are enrolled in, please contact our Member Services department at the phone number on the back of your BCBSNE member ID card.



The percentage of the bill you pay after your deductible has been met.


A fixed amount you pay when you get a covered health service.

Tiered benefit plan

A health care plan featuring multiple levels of benefits based on the network status of a particular provider. 


The annual amount you pay for covered health services before your insurance begins to pay.

emergency care services

Any covered services received in a hospital emergency room setting.


Includes behavioral health treatment, counseling, and psychotherapy

in-network provider

A provider contracted by your insurance company to accept an agreed upon payment for covered services. 

OUT-OF-network provider

A term for providers that aren’t contracting with your insurance company. (Your out-of-pocket costs will tend to be more expensive if you go to an out-of-network provider.)


Your expenses for medical care that aren’t reimbursed by insurance, including deductibles, coinsurance and co-payments.


If you can afford health insurance, but choose not to buy it, you must have a health coverage exemption or pay a tax penalty on your federal income tax return.


The amount you pay to your health insurance company each month. 

Preventive services

Health care services that focus on the prevention of disease and health maintenance.


Services and devices to help you recover if you are injured or have surgery. This includes physical, occupational and speech therapy.

special enrollment period

The time after the Open Enrollment Period when you can still purchase health insurance only if you have a qualifying life event (losing other health coverage, having a baby, getting married, moving).


A physician who has a majority of his or her practice in fields other than internal or general medicine, obstetrics/gynecology, pediatrics or family practice.