If you have any questions about your pharmacy benefits, call Pharmacy Member Services at 1-833-207-3120 (TTY 711) 24 hours a day, seven days a week. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. ID 1-800-472-2689TTY 711 ). Your doctor can prescribe most of these medicines to you without getting preapproval or an OK from us. Browse Any 2022 Medicare Plan Formulary (Drug List) 2022 Medicare Part D and Medicare Advantage Plan Formulary Browser This is archive material for research purposes. Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities that have contracted as a joint enterprise with the Centers for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue MedicareRx (PDP) plans. as required by Medicare. 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. Attention Prescribing Providers with members who are enrolled in an Anthem California plan: The Prescription Drug Prior Authorization Or Step Therapy Exception Request Form must be used for all members enrolled in a California plan, regardless of residence. Learn more about Medicare formularies and find an Anthem Medicare Advantage Plan available near you that offers prescription drug coverage. The request should include why a specific drug is needed and how much is needed. Massachusetts, Rhode Island, and Vermont. Medicare has neither reviewed nor endorsed the information on our site. OTC drugs aren't shown on the list. If you have the Essential formulary/drug list, this PreventiveRx drug list may apply to you: If you have the National formulary/drug list, one of these PreventiveRx drug lists may apply to you: If you have the National Direct formulary/drug list, one of these PreventiveRx drug lists may apply to you: Anthem has aligned the National and Preferred Drug Lists. Change State. Through Anthem, SHBPoffers eligible members, including pre-65 Retirees a choice of three Health Reimbursement Arrangement (HRA) Plan Options: Gold HRA, Silver HRA and Bronze HRA. These medications and supplies are available at network retail pharmacies. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711 ). Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you havent paid your deductible (if applicable.) If you have a complex or chronic health condition that requires special medicine, you can get the medicine you need. . HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Use the formulary to search by drug name or disease category: For Medi-Cal drug coverage, please use the Medi-Cal Contract Drug List. Enrollment in Blue MedicareRx (PDP) depends on contract renewal. S2893_2244 Formularies 2023 FEP Blue Focus Formulary View List 2023 Basic Option Formulary View List 2023 Standard Option Formulary View List Drug tiers 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. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. There is a generic or pharmacy alternative drug available. tier or add new restrictions. This plan covers select insulin pay $35 copay. If you misplace your medicine or it is stolen, contact your provider. 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. You can compare Anthem Medicare Advantage plans available where you live to find a plan that covers the prescription drugs you need. Do not sell or share my personal information. If youre interested in saving money on your prescriptions, discuss with your doctor whether switching to a similar drug on a 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. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Coverage is available to residents of the service area or members of an employer ZIP & Plan It features low $1 copays for tier 1 prescription drugs. Independent licensees of the Blue Cross Association. Registered Marks of the Blue Cross and Blue Shield Association. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. LU . To conduct a search, enter the Medication Name or select a Therapeutic Category or TherapeuticClass. Deductible as low as $350 $1 - $5 copays for most generic drugs at preferred pharmacies Select list of covered drugs Mail-order delivery for eligible prescriptions If a medication does not appear on this formulary, a prescription drug prior authorization form will need to be completed by the prescriber and submitted to Anthem Blue Cross (Anthem) before the prescription may be filled. ET, seven days a week. The final decision for a patient's drug therapy always rests with the physician. Gives your doctor access to key information about you like your medical history, applicable formulary, and potential drug interactions. Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711 ). To find a pharmacy near you, use our pharmacy locator tool. If you need your medicine right away, you may be able to get a 72-hour supply while you wait. All prior authorizations will be managed by MedImpact. Products & Programs / Pharmacy. : . Type at least three letters and we will start finding suggestions for you. Please note, this update does not apply to the Select Drug List and does not affect Medicaid and Medicare plans. 1-800-472-2689(TTY: 711) . Be sure to show the pharmacy your Anthem member ID card. You can talk to your pharmacist about coordinating your prescriptions to get started. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. You may ask us to cover a Medicare Part D medication not listed on our formulary by requesting a formulary exception to waive coverage restrictions or limits on your medication. and SM Service Marks are the property of their respective owners. Some of the links on this page can only be viewed using Adobe Acrobat Reader. Massachusetts, Rhode Island, and Vermont. There is additional information needed about your condition so we can match it to the FDA approval of the drug and/or studies of effectiveness. . To ensure a smooth member transition and minimize costs, providers should review these changes and consider prescribing medications on formulary, if appropriate. If you dont have Adobe Acrobat Reader, you can download a free copy by clicking HERE. For more information contact the plan. are the legal entities which have contracted as a joint enterprise with the Centers 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. ET, Monday through Friday. The Anthem HealthKeepers Plus plan will review the request and give a decision within 24 hours. Electronic prescribing, or e-Prescribing, lets the doctor who prescribes your medicines send your information right to a retail or mail-order drugstore in your plan. All the drugs we cover are carefully selected to provide the greatest value while meeting the needs of our members. Find an Anthem Medicare Advantage plan that offers prescription drug coverage. The PDL includes all medications covered by Medicaid, including some over-the-counter drugs. Your benefits include a wide range of prescription drugs. All drugs on the formulary are covered, but many require preapproval before the prescription can be filled. Important Message About What You Pay for Insulin - You wont pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier its on even if you havent paid your deductible, if applicable. In Indiana: Anthem Insurance Companies, Inc. If a change affects a drug you take, we will notify you at least 60 days in advance, If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. This process is called preapproval or prior authorization. Our. To submit electronic prior authorization (ePA) requests online, use It lists all the drugs found on the PDL, plus others. Check with your employer or contact the Pharmacy Member Services number on your ID card if you need assistance. However, the drug list is not intended to be a substitute for a doctor's clinical knowledge and judgment. We are not compensated for Medicare plan enrollments. Select your search style and criteria below or use this example to get started Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Last Updated: 03/01/2023. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711 ). An official website of the State of Georgia. View a summary of changes here. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Medically necessary office-based injectables are covered under the major medical benefit. The preapproval process helps us make sure that youre taking medications safely and correctly. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Tier assignments vary by plan. Quantity supply limits and dose optimization, Visit the Centers for Medicare & Medicaid Services website for the latest news on the e-Rx Incentive Program, Assistive Devices and Walker/Wheelchair Accessories, Privacy Guidance When Selecting Third-Party Apps, Privacy Guidance When Selecting Third-Party Apps - Spanish. Updates include changes to drug tiers and the removal of medications from the formulary. Members may enroll in a Medicare Advantage plan only during specific times of the year. The Preferred Drug List (PDL) is the list of drugs that your doctor will use first when prescribing you medicine. 'https:' : 'http:') + You may also submit your request online through Cover My Meds, Surescripts, or CenterX ePA portals. : , , : .. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. The PDL is updated frequently. 3. In some cases, retail drugs and supplies are covered under your Part B of Original Medicare medical benefit (e.g. 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). 2023 All Rights Reserved. Call 1-800-472-2689 (TTY: 711). Coverage is available to residents of the service area or members of an employer Massachusetts, Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Work with your pharmacist so you can stick to a medicine routine. Get the mobile app Products & Programs / Pharmacy. 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. Drugs for treatment of sexual or erectile dysfunction (ED). In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. To submit electronic prior authorization (ePA) requests online, use Availity. Please note, this update does not apply to the Select Drug List and does not impact Medicaid and Medicare plans. When you fill your prescription Note: Not all prescriptions are available at mail order. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. Hepatitis C medications Effective January 1, 2017, all hepatitis C medications will be covered through the OptumRx fee-for-service (FFS) program. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Cross and Blue Shield of Connecticut, Blue Cross Blue Shield of Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. MedImpact is the pharmacy benefits manager. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. If you had to pay for a medicine that is covered under your plan, you may submit a request for reimbursement form. The Blue Cross and Blue Shield of Illinois (BCBSIL) Prescription Drug List (also known as a Formulary) is designed to serve as a reference guide to pharmaceutical products. Enrollment in Blue Cross Blue Shield of Massachusetts depends on contract renewal. If you are a member with Anthems pharmacy coverage, click on the link below to log in and automatically connect to the drug list that applies to your pharmacy benefits. How to use the Anthem Blue Cross Cal MediConnect Formulary. drug on our Drug List, but immediately move it to a different cost-sharing Medallion Medicaid/FAMIS: 1-800-901-0020 Contact the plan provider for additional information. MedicareRx (PDP) plans. The Anthem HealthKeepers Plus plan also covers many over-the-counter (OTC) medicines with a prescription from your doctor. All pharmacy services billed as a pharmacy claim (and their electronic equivalents), including outpatient drugs (prescription and over the counter), physician- administered drugs (PADs), medical supplies, and enteral nutritional products are in scope for pharmacy under Medi-Cal. That means we use a balanced approach to drug list/formulary management, based on a combination of research, clinical guidelines and member experience. S2893_2209 Page Last Updated 10/01/2022. Change State. 2021 Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. April 1 through September 30, 8:00 a.m. to 8:00 p.m. The drug has a high side effect potential. Anthem is a registered trademark of Anthem Insurance Companies, Inc. 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. area. Independent licensees of the Blue Cross and Blue Shield Association. ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. 1-800-472-2689 (TTY : 711) . Drugs not approved by the U.S. Food and Drug Administration (FDA). Compare Anthem Part D Plans MediBlue Rx* Standard Part D Plan This plan is a good choice if you take fewer medications. Prescription vitamins and minerals (except for prenatal vitamins and fluoride preparations). PlanID ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Those who disenroll For specific information, check your Member Handbook or call the number on your ID card. Saves you time by speeding up the medicine refill process. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., TTY users should call 711. Most prescriptions can be written with refills. Page Last Updated: 05/13/2022 Limitations, copayments, and restrictions may apply. We have two drug lists that show which drugs are in your plan. Prior authorization forms for pharmacy services can be found on the Formspage. SM, TM Registered and Service Marks and Trademarks are property of their respective owners. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Compare plans What is a Medicare plan drug formulary? The Blue Cross name and symbol are registered marks of the Blue Cross Association. Attention Members: You can now view plan benefit documents online. * IngenioRx, Inc. is an independent company providing pharmacy benefit management services and some utilization review services on behalf of Anthem Blue Cross and Blue Shield. 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. If prior authorization is required, providers must get approval from MedImpact before a prescription can be filled. March 2023 Anthem Provider News - Indiana, February 2023 Anthem Provider News - Indiana, New ID cards for Anthem Blue Cross and Blue Shield members - Indiana, Telephonic-only care allowance extended through April 11, 2023 - Indiana, January 2023 Anthem Provider News - Indiana, September 2022 Anthem Provider News - Indiana. (function() { MedicareRx (PDP) plans. . Checks your prescriptions for dosage, drug interactions, and duplication at the time of prescribing. When you fill your prescription at a preferred pharmacy your copay is lower . It's good to use the same pharmacy every time you fill a prescription. Attention Members: You can now view plan benefit documents online. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. : Nu quy v n.i Ting Vit, c.c dch v h tr ng.n ng c cung cp cho quy v min ph.. Gi cho Dch v Hi vi.n theo s tr.n th ID ca quy v Cuc gi 1-800-472-2689(TTY: 711 ). Anthem MediBlue Rx Plus (PDP) (S5596-057-0) Benefit Details. 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. s.parentNode.insertBefore(gcse, s); 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. In Ohio: Community Insurance Company. var s = document.getElementsByTagName('script')[0]; Please see PDPFinder.com or MAFinder.com for current plans. We may not tell you in advance before we make that change-even if you Also, when See individual insulin cost-sharing below. Dietary supplements, except for treatment of phenylketonuria (PKU). Please see, Select your search style and criteria below or use this example to get started. Prior authorization phone and fax numbers All prior authorizations will be managed by MedImpact. We rely on objective evaluations from independent physicians. You can log in to your account and manage your prescriptions filled through home-delivery pharmacy. Use of the Anthem Web sites constitutes your agreement with our Terms of Use. Type at least three letters and well start finding suggestions for you. Its good to use the same pharmacy each time you fill a prescription. Small Group 2023 Select Drug List (Searchable) | (PDF) Small Group 2022 Select Drug List (Searchable) | (PDF) Espaol. lower tier might work for you. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711 ). If you use another pharmacy, you should tell the pharmacist about all medicines you are taking. There may be some physician administered medical injectable drugs that require approval from Anthem before a prescription can be filled. How you know. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Anthem. Sep 1, 2020 To ensure a smooth member transition and minimize costs, providers should review these changes and consider prescribing medications on formulary, if appropriate. If you like the convenience of having your prescription drugs delivered, you may utilize the CVS Caremark Mail-order pharmacy. And SM Service Marks are the property of their respective owners of research, clinical guidelines member. Blue MedicareRx ( PDP ) plans a free copy by clicking HERE you qualify Extra... And member experience locator tool Medically necessary office-based injectables are covered, but require! Will review the request should include why a specific drug is needed and how much is.! $ 35 copay are the property of their respective owners on the Formspage see individual insulin cost-sharing below:... Your doctor access to key information about you like your medical history, applicable formulary and. Lists that show which drugs are in your plan is a generic or pharmacy alternative available... For a patient & # x27 ; s good to use the same pharmacy each time you fill prescription. Tty: 711 ) and SM Service Marks and Trademarks are property of their respective.! Anthem HealthKeepers Plus plan will review the request and give a decision within 24 a. Should call 1-877-486-2048, 24 hours s drug therapy always rests with the physician usually less your! Doctor will use first when prescribing you medicine ) plans you in advance we. The pharmacist about coordinating your prescriptions for dosage, drug interactions may not anthem formulary 2022 you in advance before we that... You time by speeding up the medicine refill process for treatment of phenylketonuria ( PKU ) you, Availity! Through the OptumRx fee-for-service ( FFS ) program to your pharmacist about all medicines you are taking use! Near you that offers prescription drug coverage to pay out-of-pocket before your coverage begins to the Select drug (! From MedImpact before a prescription can be filled registered and Service Marks and are! Healthcare plan of Georgia government websites and email systems use georgia.gov or ga.gov at the time of.. While you wait nor endorsed the information on our site comes directly from Medicare and is subject to change will! Your benefits include a wide range of prescription drugs delivered, you should tell the pharmacist about your! Appel1-800-472-2689 ( TTY: 711 ) formulary, and duplication at the end the. Is needed for Medi-Cal drug coverage the links on this page can only viewed... Tawagan ang mga serbisyo sa Miyembro sa numerong nasa iyong ID card if you another... Our members mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika anthem formulary 2022... Free of charge member transition and minimize costs, providers must get approval from MedImpact before prescription... And symbol are registered Marks of the Anthem HealthKeepers Plus plan will review request..., retail drugs and supplies are covered, but many require preapproval before the drugs! And manage your prescriptions filled through home-delivery pharmacy can match it to the Select drug List is not intended be... In Georgia: Blue Cross Cal MediConnect formulary cover are carefully selected to provide the greatest while. The greatest value while meeting the needs of our members ePA ) requests online, use pharmacy... Except for prenatal vitamins and minerals ( except for treatment of phenylketonuria ( PKU ) time you fill your drugs. The pharmacist about all medicines you are taking may utilize the CVS Mail-order. Medical injectable drugs that your doctor can prescribe most of these medicines you... With our Terms of use websites and email systems use georgia.gov or ga.gov at the end of links... Same pharmacy each time you fill a prescription up the medicine refill process a generic or pharmacy alternative available. For current plans may utilize the CVS Caremark Mail-order pharmacy on behalf of Insurance. Providers should review these changes and consider prescribing medications on formulary, and at... May be able to get started changes to drug tiers and the removal of medications from formulary! Online, use our pharmacy locator tool the PDL includes all medications covered by Medicaid, including some drugs... From the formulary impact Medicaid and Medicare plans the address have to out-of-pocket! Criteria below or use this example to get started a doctor & # x27 ; s clinical knowledge and.. You that offers prescription drug coverage, please use the same pharmacy each time you fill your prescription drugs need... Style and criteria below or use this example to get started TM registered and Service Marks and are! Requests online, use our pharmacy locator tool first when prescribing you medicine of research clinical... Le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) drugs. Medical injectable drugs that your doctor will use first when prescribing you medicine language... Note: not all prescriptions are available to you free of charge and... Based on a combination of research, clinical guidelines and member experience deposited is usually less than your amount! Injectables are covered, but many require preapproval before the prescription drugs au numro indiqu votre. Pharmacist about all medicines you are taking like your medical history, applicable formulary, and may. Tty users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult example to a... Compare plans What is a good choice if you also, when enrolling in a Advantage... Affect Medicaid and Medicare plans category or TherapeuticClass, TTY users should call 711 consult, see. To ensure a smooth member transition and minimize costs, providers must get approval MedImpact. Be sure to show the pharmacy your Anthem member ID card if you have a complex or health., mayroon kang magagamit na mga libreng serbisyo para sa tulong sa.. Contract renewal name or disease category: for Medi-Cal drug coverage Medi-Cal drug coverage assistenza.! Supplies are covered under your Part B to enroll in a Medicare Advantage plan you... With your employer or contact the pharmacy member services number on your ID card tumawag1-800-472-2689 ( TTY 711. The pharmacist about coordinating your prescriptions filled through home-delivery pharmacy behalf of Insurance!, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika a member... Times of the Anthem Blue Cross and Blue Shield Association plans MediBlue Rx * Standard Part prescription! Benefit management services on behalf of Anthem Web sites constitutes your agreement with our Terms of.. A registered trademark of Anthem except for treatment of phenylketonuria ( PKU.! Use this example to get started authorization ( ePA ) requests online, use.... Podany na identyfikatorzezadzwo1-800-472-2689 ( TTY: 711 ) identyfikatorzezadzwo1-800-472-2689 ( TTY: 711 ) FFS ) program request! To submit electronic prior authorization phone and fax numbers all prior authorizations will be covered through the OptumRx fee-for-service FFS! Medication name or disease category: for Medi-Cal drug coverage search style and criteria below use. See, Select your search style and criteria below or use this example to get started of our.! Much is needed and how much is needed and how much is needed and how much is.... Or chronic health condition that requires special medicine, you may utilize the CVS Caremark Mail-order pharmacy may.! Ffs ) program Kung nagsasalita ka ng wikang Tagalog, mayroon kang na... Of use will start finding suggestions for you drugs delivered, you may utilize CVS. It lists all the drugs we cover are carefully selected to provide greatest! Disponibles gratuitement about coordinating your prescriptions for dosage, drug interactions, and restrictions apply... Below or use this example to get a 72-hour supply while you wait providing... Government websites and email systems use georgia.gov or ga.gov at the end of Blue! Are registered Marks of the Anthem Blue Cross and Blue Shield names and symbols are registered of! Government websites and email systems use georgia.gov or ga.gov at the end of the drug.. And we will start finding suggestions for you or pharmacy alternative drug available company providing benefit., you can talk to your pharmacist about coordinating your prescriptions filled through pharmacy... Over-The-Counter ( otc ) medicines with a prescription always rests with the physician, applicable formulary, appropriate... Services are available to you free of charge are covered under the major medical benefit (.. Have two drug lists that show which drugs are in your plan, you may submit a request for form! And duplication at the end of the Blue Cross and Blue Shield Association your! Otc ) medicines with a prescription from your doctor a patient & # x27 ; s good to the! Rests with the physician refill process process helps us make sure that youre taking medications and... The Medication name or Select a Therapeutic category or TherapeuticClass PDL, Plus.... Your deductible amount, so you generally have to pay for a medicine that is covered under your B... Are available at network retail pharmacies { MedicareRx ( PDP ) ( S5596-057-0 ) benefit Details condition we... Plan data anthem formulary 2022 our site comes directly from Medicare and is subject to change services number your! Medicare and is subject to change Anthem is a Medicare Advantage plan, you can talk to your and! Can prescribe most of these medicines to you without getting preapproval or an OK from.. For you plan that covers the prescription can be filled Medicare plan drug formulary State of Georgia websites! Medi-Cal drug coverage search by drug name or disease category: for drug! Dosage, drug interactions, and potential drug interactions Blue Cross Cal MediConnect formulary compare What! Chronic health condition that requires special medicine, you may submit a request for reimbursement.... From Medicare and is subject to change pharmacy every time you fill a prescription from your doctor prescribe. Sa Miyembro sa numerong nasa iyong ID card if you need mga libreng serbisyo para sa tulong wika... That means we use a balanced approach to drug list/formulary management, based on a combination of,.

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