An official website of the State of Georgia. tier or add new restrictions. Anthem Blue Cross is the trade name of Blue Cross of California. They will work with the pharmacy and the Anthem HealthKeepers Plus plan to review your case and replace your medicines as needed. Med Sync helps get your refills on the same schedule so you can pick up most of your medicines on just one day each month. Dietary supplements, except for treatment of phenylketonuria (PKU). For more recent information or other questions, please contact Customer Care at 1-844-345-4577, 24 hours a day, 7 days a week. Blue MedicareRx (PDP) is accepted coast-to-coast at national pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. View a summary of changes here . Learn more about Blue Ticket to Health Get your flu shot Flu shots, pneumonia shots, FluMist TM and antiviral medications are approved benefits under most health plans. The formulary is a list of our covered prescription drugs, including generic, brand name and specialty drugs. We are not compensated for Medicare plan enrollments. All the drugs we cover are carefully selected to provide the greatest value while meeting the needs of our members. (function() { Use this form to set up home delivery for your prescriptions. Learn more about Medicare formularies and find an Anthem Medicare Advantage Plan available near you that offers prescription drug coverage. 2022 Formulary for Open Enrollment This is a list of drugs we will cover in 2023, including preferred and non-preferred drugs. 'https:' : 'http:') + Our primary concern is clinical appropriateness, not drug cost. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711 ). Star Ratings are calculated each year and may change from one year to the next. Registered Marks of the Blue Cross and Blue Shield Association. You won't pay more than $35 for a one-month supply of each insulin product covered by Blue MedicareRx, no matter what cost-sharing tier it's on (and for our Value Plus plan, even if you haven't paid your deductible). Type at least three letters and we will start finding suggestions for you. To submit electronic prior authorization (ePA) requests online, use Availity. 3. Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., Anthem Blue Cross is the trade name of Blue Cross of California and Anthem Blue Cross Partnership Plan is the trade name of Blue Cross of California Partnership Plan, Inc. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. However, they do not qualify for exception requests, extra help on drug costs,transition fills, or accumulate toward your total out of pocket costs to bring you through the coverage gap faster like drugs covered under your Medicare prescription drug benefit. 2023 All Rights Reserved. Browse Any 2022 Medicare Plan Formulary (Drug List), 2022 Medicare Part D and Medicare Advantage Plan Formulary Browser, Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs. control costs. Use your drug discount card to save on medications for the entire family ‐ including your pets. Call Member Services at the number below for more information. Out of the 63,000+ pharmacies in our network, over 22,000 are preferred retail cost-sharing network pharmacies. for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue For MRMIP and MMP: Prescriptions can be filled at more than 5,000 retail pharmacies in California and a listing of these pharmacies (pharmacy network) can be found in our provider directories. Medical Policies and Clinical UM Guidelines, HEDIS (The Healthcare Effectiveness Data & Information Set), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) 2019 List of Covered Drugs (Formulary), Medi-Cal Managed Care and Major Risk Medical Insurance Program Provider Manual, Anthem Blue Cross Cal MediConnect Plan (Medicare-Medicaid Plan) Provider Manual, MMP: Medical Injectables Prior Authorization Form, Drug List Addition/Clinical Criteria Change Request Form. Use the formulary to search by drug name or disease category: For Medi-Cal drug coverage, please use the Medi-Cal Contract Drug List. A doctor can also call in the prescription for you. Visit theAppeals & Grievancessection for more information. : , , . See individual insulin cost-sharing below. Click here to see the list of medications available for a 90-day supply, and all other drugs are limited to a 34-day supply. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Page Last Updated: 05/13/2022 Generic drugs have the same active ingredient formula as a brand name drug. All the drugs we cover are carefully selected to provide the greatest value while meeting the needs of our members. Our Medication Synchronization program (Med Sync) makes getting all your medicines easier at no extra cost to you. Availity. This group meets regularly to review new and existing drugs, and to choose the top medications for our Drug List/Formulary. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. MedicareRx (PDP) plans. View a summary of changes here. Overall, your costs for a 90-day supply of prescriptions ordered through our mail order service will be lower than what you will pay for a 90-day supply at a network retail pharmacy. Do not sell or share my personal information. Using the A to Z list to search by the first letter of your drug. If you need your medicine right away, you may be able to get a 72-hour supply while you wait. TTY 711 Blue MedicareRx covers most Part D vaccines at no cost to you (and for our Value Plus plan, even if you haven't paid your deductible). Medicare evaluates plans based on a 5-Star rating system. If you're not sure whether these lists apply to your plan, check with your employer or call the Pharmacy Member Services number printed on your ID card. LU . The PDL is updated frequently. The P&T Committee is an independent group that includes practicing doctors, pharmacists and other health care professionals responsible for the research and decisions surrounding our Drug List/Formulary. MedImpact, in conjunction with the Commonwealth of Kentucky, manages a list of drugs providers can choose from called a Preferred Drug List (PDL). Medicare Prescription Drug Plans available to service residents of Connecticut, . Small Group 2023 Select Drug List (Searchable) | (PDF) Small Group 2022 Select Drug List (Searchable) | (PDF) Espaol. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada 1-800-472-2689 (TTY: 711 ). This way, your pharmacist will know about problems that may happen when youre taking more than one prescription. gcse.src = (document.location.protocol == 'https:' ? We make receiving prescriptions as convenient as possible. Simply take your written prescription to a plan pharmacy or ask your doctor to call it in. Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., S2893_2209 Page Last Updated 10/15/2022. or union group and separately issued by one of the following plans: Anthem Blue MedImpact is the pharmacy benefits manager. . MA-Compare: Review Changes in each 2021 Medicare Advantage Plan for 2022, Find a 2022 Medicare Part D Plan (PDP-Finder: Rx Only), Find a 2022 Medicare Advantage Plan (Health and Health w/Rx Plans), Q1Rx 2022 Medicare Part D or Medicare Advantage Plan Finder by Drug, Guided Help Finding a 2022 Medicare Prescription Drug Plan, Search for 2022 Medicare Plans by Plan ID, Search for 2022 Medicare Plans by Formulary ID, 2022 Medicare Prescription Drug Plan (PDP) Benefit Details, 2022 Medicare Advantage Plan Benefit Details, Pre-2020 Medicare.gov Plan Finder Tutorial, Example: AARP MedicareRx Preferred (PDP) Formulary in Florida, Learn more about savings on Pet Medications, ABACAVIR-LAMIVUDINE 600-300 MG TABLET [Epzicom], ABIRATERONE ACETATE 250 MG TABLET [ZYTIGA], Acamprosate Calcium DR 333 MG tablets [Campral], ACETAMINOPHEN-COD #3 TABLET [Tylenol with Codeine No.3], ACETAZOLAMIDE ER 500 MG CAPSULE ER [Diamox Sequels], ACETYLCYSTEINE 20% VIAL [Mucosil Acetylcysteine], ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera], ADVAIR HFA 230; 21ug/1; ug/1 120 AEROSOL, METERED in 1 INHALER, ADVAIR HFA INHALER 115;21MCG;MCG 120 ACTN INHL, ADVAIR HFA INHALER 45;21MCG;MCG 120 ACTN INHL, ALBUTEROL HFA 90 MCG INHALER HFA AER AD [Ventolin HFA], ALBUTEROL SUL 0.63 MG/3 ML SOLUTION VIAL-NEB [Accuneb], ALBUTEROL SUL 1.25 MG/3 ML SOLUTION VIAL-NEB, ALBUTEROL SUL 2.5 MG/3 ML SOLUTION VIAL-NEB, ALCLOMETASONE DIPR 0.05% OINTMENT [Aclovate], ALENDRONATE SOD 70 MG/75 ML SOLUTION [Fosamax], ALENDRONATE SODIUM 10 MG TABLET [Fosamax], ALENDRONATE SODIUM 35 MG TABLET [Fosamax], ALENDRONATE SODIUM 70 MG TABLET [Fosamax], AMILORIDE HCL-HCTZ 5-50 MG TABLET [Moduretic], Amino acids 4.25% in dextrose 10% Injectable Solution [Clinimix 4.25/10], Amino acids 4.25% in dextrose 5% Injectable Solution [Clinimix 4.25/5], AMLODIPINE BESYLATE 10 MG TABLET [Norvasc], AMLODIPINE BESYLATE 2.5 MG TABLET [Norvasc], AMLODIPINE BESYLATE 5 MG TABLET [Norvasc], AMLODIPINE-BENAZEPRIL 10-20 MG CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 10-40 MG CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 2.5-10 CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 5-10 MG CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 5-20 MG CAPSULE [Lotrel], AMLODIPINE-BENAZEPRIL 5-40 MG CAPSULE [Lotrel], AMLODIPINE-OLMESARTAN 10-20 MG TABLET [AZOR], AMLODIPINE-OLMESARTAN 10-40 MG TABLET [AZOR], AMLODIPINE-OLMESARTAN 5-20 MG TABLET [AZOR], AMLODIPINE-OLMESARTAN 5-40 MG TABLET [AZOR], AMLODIPINE-VALSARTAN 10-160 MG TABLET [Exforge], AMLODIPINE-VALSARTAN 10-320 MG TABLET [Exforge], AMLODIPINE-VALSARTAN 5-160 MG TABLET [Exforge], AMLODIPINE-VALSARTAN 5-320 MG TABLET [Exforge], AMMONIUM LACTATE 12% CREAM (g) [Lac-Hydrin], AMOX TR-POTASSIUM CLAVULANATE 200-28.5MG TABLET CHEWABLE [Augmentin], AMOX TR-POTASSIUM CLAVULANATE 250-125MG TABLET [Augmentin], AMOX TR-POTASSIUM CLAVULANATE 400-57MG TABLET CHEWABLE [Augmentin], AMOX-CLAV 400-57 MG/5 ML ORAL SUSPENSION [Augmentin], AMOX-CLAV ER 1,000-62.5 MG TABLET [Augmentin], AMOXICILLIN 200 MG/5 ML ORAL SUSPENSION [Amoxil], AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION [Trimox], AMOXICILLIN 400 MG/5 ML ORAL SUSPENSION [Amoxil], Ampicillin 1000 MG / Sulbactam 500 MG Injection, Ampicillin 125mg/1 10 VIAL, GLASS in 1 PACKAGE / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, GLASS, Anagrelide Hydrochloride 0.5mg/1 100 CAPSULE BOTTLE, APOMORPHINE 30 MG/3 ML CARTRIDGE [Apokyn], Apraclonidine 5 MG/ML Ophthalmic Solution, ARIPIPRAZOLE ODT 10 MG TABLET RAPDIS [Abilify Discmelt], ARIPIPRAZOLE ODT 15 MG TABLET RAPDIS [Abilify Discmelt], ASENAPINE 10 MG SUBLIGUAL TABLET [Saphris], ASENAPINE 2.5 MG TABLET SUBLIGUAL [Saphris], ASENAPINE 5 MG SUBLIGUAL TABLET [Saphris], ASPIRIN-DIPYRIDAM ER 25-200 MG CPMP 12HR [Aggrenox], ATAZANAVIR SULFATE 150 MG CAPSULE [Reyataz], ATAZANAVIR SULFATE 200 MG CAPSULE [Reyataz], ATAZANAVIR SULFATE 300 MG CAPSULE [Reyataz], ATENOLOL/CHLORTHALIDONE TABLET 50-25MG (100 CT), ATOMOXETINE HCL 10 MG CAPSULE [Strattera], ATOMOXETINE HCL 100 MG CAPSULE [Strattera], ATOMOXETINE HCL 18 MG CAPSULE [Strattera], ATOMOXETINE HCL 25 MG CAPSULE [Strattera], ATOMOXETINE HCL 40 MG CAPSULE [Strattera], ATOMOXETINE HCL 60 MG CAPSULE [Strattera], ATOMOXETINE HCL 80 MG CAPSULE [Strattera], ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION [Mepron], Atovaquone-Proguanil 250; 100mg/1; mg/1 [Malarone], AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION [Zithromax], AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [Zithromax], AZITHROMYCIN 250 MG TABLET [Zithromax Z-Pak], AZITHROMYCIN 500 MG TABLET [Zithromax Tri-Pak], AZITHROMYCIN 600 MG TABLET [Zithromax Z-Pak], AZITHROMYCIN I.V. Some medicines need a preapproval or an OK from the Anthem HealthKeepers Plus plan before your provider can prescribe them. as required by Medicare. The changes apply for only new prescriptions; members with existing prescriptions for these medications will not be impacted. You may also submit your request online through Cover My Meds, Surescripts, or CenterX ePA portals. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. For more information contact the plan. English Spanish Don't see it listed? We offer an outcomes-based formulary. Do you want to look up your medicine and find out if it is covered in your plan? Typing the name (at least first three letters) of the drug in the search box. In Ohio: Community Insurance Company. gcse.type = 'text/javascript'; We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. The request should include why a specific drug is needed and how much is needed. Medi-Cal pharmacy website for more information. These lists may be for you if you refill prescriptions through home delivery or at a Rx Maintenance 90 pharmacy for maintenance drugs, which are used to treat long-term conditions like high blood pressure or diabetes. Prior authorization forms for pharmacy services can be found on the Formspage. Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Registered Marks, TM Trademarks. Certain generic drugs that are available at the lowest copayment for our members, Higher cost generic drugs available at a higher copayment than Tier 1 generic drugs, Common brand-name and some higher cost generic drugs, High cost generic and non-preferred drugs, many of which may have lower cost options available on Tier 1, 2 or 3, Unique and/or very high-cost brand and some generic drugs of which you pay a percentage of the drug cost; some may require special handling and/or close monitoring, Prior authorization you will need to obtain approval before you fill your prescription, Quantity limit There is a limit to the amount of the drug the plan will cover with each prescription filled, Step therapy You may be required to try an alternative drug before this drug is covered, Limited access This prescription may be available only at certain pharmacies. Your doctor can get the process started by calling the Pharmacy Member Services number on Prior authorization phone and fax numbers All prior authorizations will be managed by MedImpact. That means we use a balanced approach to drug list/formulary management, based on a combination of research, clinical guidelines and member experience. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two Blue Cross and Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. There are certain types of drugs that Blue MedicareRx cannot include in the formulary due to federal law, including: In addition, a Medicare Part D plan cannot cover: Blue MedicareRx (PDP) is a Prescription Drug Plan with a Medicare contract. Sep 1, 2020 Massachusetts, Rhode Island, and Vermont. Drugs requiring the assistance of a medical professional (office-based injectables) are not covered under the pharmacy benefit. To find a pharmacy near you, use our pharmacy locator tool. Have more questions about Med Sync? The Anthem HealthKeepers Plus plan will review the request and give a decision within 24 hours. for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue Attention Members: You can now view plan benefit documents online. 500 MG VIAL [Zithromax], Everyone in your household can use the same card, including your pets. Featured In: If your eligible Medicare Part D medication is not on the list, it's not covered. Before sharing sensitive or personal information, make sure youre on an official state website. Use the Drug Pricing Tool to price the medications you are currently taking and see which Blue MedicareRx plan is best for you. In some cases, retail drugs and supplies are covered under your Part B of Original Medicare medical benefit (e.g. Anthem Blue Cross and Blue Shield Medicaid is the trade name of Anthem Kentucky Managed Care Plan, Inc., independent licensee of the Blue Cross and Blue Shield Association. If you misplace your medicine or it is stolen, contact your provider. You can also learn more about some of our online tools, like pricing a drug, by clicking on the link to the video. Select your search style and criteria below or use this example to get started gcse.async = true; Limitations, copayments, and restrictions may apply. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Sep 1, 2022 Anthem MediBlue Rx Plus (PDP) (S5596-057-0) Benefit Details. These drugs have been chosen for their quality and effectiveness. The PDL includes all medications covered by Medicaid, including some over-the-counter drugs. The Generic Premium Drug List is no longer actively marketed and only applies to members who have not been transitioned to an alternative drug list. When you fill your prescription at a preferred pharmacy your copay is lower . are replacing it with a new generic drug that will appear on the same or To verify Medi-Cal pharmacy network participation or pharmacy drug coverage under Medi-Cal, please call the Pharmacy Benefits Manager: The Anthem Blue Cross Cal MediConnect Plan Formulary lists the brand name or generic name of a given drug. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. are Independent Licensees of the Blue Cross and Blue Shield Association, The Blue Cross name and symbol are registered marks of the Blue Cross Association , Essential Drug List 3-Tier with 1a/1b (Searchable), Essential Drug List 4-Tier with 1a/1b (Searchable), Essential Drug List 5-Tier with 1a/1b (Searchable), National Drug List 3-Tier with 1a/1b (Searchable), National Drug List 4-Tier with 1a/1b (Searchable), National Drug List 5-Tier with 1a/1b (Searchable), National Direct Drug List 3-Tier (Searchable), National Direct Drug List 3-Tier with 1a/1b (Searchable, National Direct Drug List 4-Tier (Searchable), National Direct Drug List 4-Tier with 1a/1b (Searchable), National Direct Drug List 5-Tier (Searchable), National Direct Drug List 5-Tier with 1a/1b (Searchable), National Direct Drug List 3-Tier with 1a/1b (Searchable), Traditional Open Drug List 3-tier (Searchable), Traditional Open Drug List 3-tier with 1a/1b (Searchable), Traditional Open Drug List 4-tier (Searchable), Traditional Open Drug List 4-tier with 1a/1b (Searchable), Traditional Open Drug List 5-tier (Searchable), Traditional Open Drug List 5-tier with 1a/1b (Searchable), PreventiveRx Plus Drug List (Traditional Open), Legacy PreventiveRx Plus Drug List (Traditional Open), Legacy PreventiveRx Plus Drug List (Select), Specialty drugs not covered under the pharmacy benefit, Specialty drugs not covered under the medical benefit, Home Delivery and Rx Maintenance 90 Drug List, ACA Contraceptive for Religious Affiliate Groups. Coverage is available to residents of the service area or members of an employer Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. To ensure a smooth member transition and minimize costs, providers should review these changes and consider prescribing a drug on formulary or on a lower tier, if appropriate. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711 ). Independent licensees of the Blue Cross and Blue Shield Association. If you like the convenience of having your prescription drugs delivered, you may utilize the CVS Caremark Mail-order pharmacy. Please direct FFS PA requests and PDL-related questions about hepatitis C drugs to the OptumRx Clinical and Technical Help Desk at 1-855-577-6317. We have two drug lists that show which drugs are in your plan. Drugs that would be covered under Medicare Part A or Part B. Visit thePrior Authorization and Step Therapysection for more information. When you fill your prescription We make every attempt to keep our information up-to-date with plan/premium changes. are the legal entities which have contracted as a joint enterprise with the Centers Check with your employer or contact the Pharmacy Member Services number on your ID card if you need assistance. View can also view our Rx Maintenance 90 pharmacies, where you can obtain up to a 90-day supply of your medicine, by going to the Rx Networks page. Cross and Blue Shield of Connecticut, Blue Cross Blue Shield of : , . 1-800-472-2689(TTY: 711). To request a drug be added to the Preferred Drug List (PDL), please contact Anthem via the. The benefit information provided is a brief summary, not a complete description of benefits. For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. By law, certain types of drugs or categories of drugs are not covered under Medicare Part D. The formulary was last updated on 03/01/2023 andmay change during the year. Attention Members: You can now view plan benefit documents online. Prescription vitamins and minerals (except for prenatal vitamins and fluoride preparations). Your benefits include a wide range of prescription drugs. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Dose optimization, or dose consolidation, helps you stick with your medicine routine. 2023 Medicare HMO Blue Formulary. There is a generic or pharmacy alternative drug available. Generally, Medicaid members are in the following categories: Under age 21 A pregnant woman A family with children Childless adult aged 19-64 who meets federal income requirements See if you're eligible. You can search or print your drug list from the options below. To ensure a smooth member transition and minimize costs, providers should review these changes and consider prescribing a drug on formulary or on a lower tier, if appropriate. Through Anthem, SHBP offers eligible members, including pre-65 Retirees a choice of three Health Reimbursement Arrangement (HRA) Plan Options: Gold HRA, Silver HRA . To submit electronic prior authorization (ePA) requests online, use Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. 2022 Medicare Part D Plan Formulary Information. OTC drugs aren't shown on the list. You can also request that Your prescribing doctor has to approve this change to make sure its appropriate for your care. The formulary is a list of all brand-name and generic drugs available in your plan. The Anthem MediBlue Rx Plus (PDP) (S5596-057-0) Formulary Drugs Starting with the Letter A. in CMS PDP Region 16 which includes: WI. We may immediately remove a brand name drug on our Drug List if we If you need more medicine than the standard 34-day supply to treat a condition, you can ask us for prior authorization. Most prescriptions can be written with refills. If you have the Traditional Open formulary/drug list, this PreventiveRx drug list may apply to you: For PreventiveRx Plus and if you have the Select formulary/drug list, this PreventiveRx Plus drug list may apply to you: For Legacy PreventiveRx Plus 2016 and if you have the Select formulary/drug list, this PreventiveRx Plus drug list may apply to you: This list includes the specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. Change State. Your benefits include a wide range of prescriptions and over-the-counter (OTC) medicines. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Drugs to relieve a cough or cold symptoms. Effective with dates of service on and after October 1, 2022, and in accordance with the IngenioRx* Pharmacy and Therapeutics (P&T) process, Anthem Blue Cross and Blue Shield will update its drug lists that support Commercial health plans. Customer Support You can call a licensed agent directly at 1-866-831-1126 . (ID Card) 1-800-472-2689(TTY: 711 ). var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Bring your member ID card and prescription to a plan pharmacy. View a summary of changes here . CCC Plus: 1-855-323-4687 Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont Please see, Select your search style and criteria below or use this example to get started. We are an independent education, research, and technology company. You must continue to pay your Medicare Part B premium. See how we help keep your out-of-pocket costs low for the medications you and your family need. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. s.parentNode.insertBefore(gcse, s); Make sure you have your medicines when you need them. TTY users should call 711. Enrollment in Blue MedicareRx (PDP) depends on contract renewal. Blue Cross Blue Shield of Massachusetts Medicare Advantage Plans cover both brand name drugs and generic drugs. Effective January 1, 2022, the Department of Health Care Services (DHCS) will transition all administrative services related to Medi-Cal Managed Care (Medi-Cal) pharmacy benefits billed on pharmacy claims from the existing fee-for-service fiscal intermediary (FI) under Medi-Cal or the members managed care plan to DHCS new pharmacy vendor/FI for Medi-Cal, Magellan Medicaid Administration, Inc. (Magellan). Note: Not all prescriptions are available at mail order. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). Enrollment in Blue MedicareRx (PDP) depends on contract renewal. For more information, contact the plan. Checks your prescriptions for dosage, drug interactions, and duplication at the time of prescribing. If you have the PreventiveRx Drug List (Preferred), please refer to the PreventiveRx Plus Drug List (National) above. Products & Programs / Pharmacy. you and/or your doctor must request a coverage determination before the plan will cover your drug. Massachusetts, Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Type at least three letters and well start finding suggestions for you. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. ET, seven days a week. These kinds of medicines arent paid for by your plan: Click here to see the list of medications available for 90-day supply. If you had to pay for a medicine that is covered under your plan, you may submit a request for reimbursement form. This tool will help you learn about any limitations or restrictions for any rug. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. : . The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. This version of the Select Drug List applies to Individual plans if you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange) or if you purchased coverage off the exchange and not through your employer: This version of the Select Drug List applies to Small Group plans if your coverage is through a Small Group employer on, and in some cases, off the exchange. ( PDL ), please contact Anthem via the information or other questions, use... 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