URAC Specialty Pharmacy accreditation continuously held since 2010 and the ACHC Rare Diseases & Orphan Drugs Distinction earned in 2023 separate CVS Pharmacy Specialty Services from the chain's retail counter format, even though the 1010 University Avenue location sits inside the same Hillcrest neighborhood as the standard CVS stores. Limited-distribution oncology orals, biologic injectables for inflammatory disease, and antiretroviral specialty regimens make up the bulk of the dispensing volume, with advanced prostate-cancer hormone-therapy scripts feeding directly from the urology team at Unio Specialty Care – Urology – San Diego – Hillcrest. Parent CVS Health's specialty pharmacy division also holds Joint Commission Home Care accreditation continuously since 1997, NABP Healthcare Merchant Accreditation, and PCAB Compounding accreditation, layered on top of the URAC certification. Hematology-oncology fills, including oral targeted therapies for leukemia, lymphoma, and other hematologic malignancies, coordinate clinically with prescribing oncologists at the Hillcrest practice of Marin Xavier, MD for medication-adherence reporting and side-effect management. The most clinically intensive specialty workflow involves first-cycle oncology orals, where the pharmacy runs financial-toxicity screens, manufacturer hub enrollment for copay assistance, and structured triage protocols for grade 3 and grade 4 adverse events flagged by the treating oncologist.