Specialty drugs, which can be given by any route of administration and are typically used to treat chronic, complex conditions, are defined as having one or more of several key characteristics, including: 1. The requirement for frequent dosing adjustments and intensive clinical monitoring to decrease the potential for drug toxicity and increase the probability for beneficial treatment outcomes 2. The need for intensive patient training and compliance assistance to facilitate therapeutic goals 3. Limited or exclusive specialty pharmacy distribution* 4. Specialized product handling and/or administration requirements *If a drug is only available through limited specialty pharmacy distribution it is considered specialty, even if it doesn’t have other specialty drug characteristics.