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All specialty medications require Precertification. The process begins with a call to HealthSmart Specialty Drug Program at 1-888-440-7342. HealthSmart will review the drug for medical necessity, and if approved, will coordinate the purchase through an approved source. Many specialty medications have manufacturer programs which will financially assist patients in the purchase of the medication. PEIA requires that if a financial assistance program is available, you must participate in the program. Specialty drugs have the following key characteristics: