Visit thePrior Authorization and Step Therapysection for more information. We make receiving prescriptions as convenient as possible. 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. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. Featured In: September 2020 Anthem Blue . The plan deposits Check with your employer or contact the Pharmacy Member Services number on your ID card if you need assistance. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Anthem. This is a list of drugs we will cover in 2023, including preferred and non-preferred drugs. Blue MedicareRx (PDP) Value Plus (PDF) and
o If a drug you're taking isn't covered, your doctor can ask us to review the coverage. For more information about tiers, please see yoursummary of benefits. . ZIP & Plan Your benefits include a wide range of prescription drugs. See how we help keep your out-of-pocket costs low for the medications you and your family need. Some medicines need a preapproval or an OK from the Anthem HealthKeepers Plus plan before your provider can prescribe them. ID 1-800-472-2689TTY: 711 . For specific information, check your Member Handbook or call the number on your ID card. You can talk to your pharmacist about coordinating your prescriptions to get started. the plan cover a drug that is not included in the formulary. An official website of the State of Georgia. All drugs on these lists are approved by the Food and Drug Administration (FDA). To request a printed copy of our pharmacy directory call us, 24 hours a day, 7 days a week. are the legal entities which have contracted as a joint enterprise with the Centers
If you have a complex or chronic health condition that requires special medicine, you can get the medicine you need. The drug is prescribed at a higher dosage than recommended. If prior authorization is required, providers must get approval from MedImpact before a prescription can be filled. Select your search style and criteria below or use this example to get started All prior authorizations will be managed by MedImpact. S2893_2244
Registered Marks of the Blue Cross and Blue Shield Association. New! To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). The Preferred Drug List (PDL) is the list of drugs that your doctor will use first when prescribing you medicine. * 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. MedicareRx (PDP) plans. The formulary is a list of all brand-name and generic drugs available in your plan. Call 1-800-901-0020 (TTY 711). 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. Massachusetts, Rhode Island, and Vermont. Type at least three letters and well start finding suggestions for you. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont
Our Medication Synchronization program (Med Sync) makes getting all your medicines easier at no extra cost to you. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), We do not sell leads or share your personal information. If a sudden removal occurs, we will notify our affected members as soon as possible. Featured In: Blue MedicareRx (PDP) is accepted coast-to-coast at national pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies. You can log in to your account and manage your prescriptions filled through home-delivery pharmacy. Medicare Prescription Drug Plans available to service residents of Connecticut,
To ensure a smooth member transition and minimize costs, providers should review these changes and consider prescribing medications on formulary, if appropriate. The benefit information provided is a brief summary, not a complete description of benefits. Blue Shield of Vermont. SM, TM Registered and Service Marks and Trademarks are property of their respective owners. Since 2014, Anthem Blue Cross and Blue Shield of Georgia (Anthem)has provided medical claims administration and medical management services for the State Health Benefit Plan (SHBP). This is known as prior authorization. : 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 ). Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada 1-800-472-2689 (TTY: 711 ). Find an Anthem Medicare Advantage plan that offers prescription drug coverage. Generic drugs have the same active ingredient formula as a brand name drug. 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. 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. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. 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. Out of the 63,000+ pharmacies in our network, over 22,000 are preferred retail cost-sharing network pharmacies. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Individual 2022 Select Drug List (Searchable) | 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. Customer Support
Have more questions about Med Sync? In Ohio: Community Insurance Company. are preferred retail cost-sharing network pharmacies. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. money from Medicare into the account. Make sure you have your medicines when you need them. 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. you and/or your doctor must request a coverage determination before the plan will cover your drug. Sometimes, we must remove a drug immediately for safety reasons or due to its discontinuation by the manufacturer. Sep 1, 2020 Drugs on the formulary are organized by tiers. Medallion Medicaid/FAMIS: 1-800-901-0020
ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Saves you time by speeding up the medicine refill process. We partner with CarelonRx Specialty Pharmacy and AcariaHealth to meet all your specialty medication needs. Drugs on the formulary are organized by tiers. 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. Contact the plan provider for additional information. Y0014_22146
Clicking on the therapeutic class of the drug. Do not sell or share my personal information. If you had to pay for a medicine that is covered under your plan, you may submit a request for reimbursement form. 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). Anthem Medicare Preferred (PPO) with Senior Rx Plus with a $0 copay for Select Generics Please read: This document contains information about the drugs we cover in this plan. If you have the PreventiveRx Drug List (Preferred), please refer to the PreventiveRx Plus Drug List (National) above. 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. S2893_2209 Page Last Updated 10/01/2022. Medicare has neither reviewed nor endorsed the information on our site. You can also request that
Prescription vitamins and minerals (except for prenatal vitamins and fluoride preparations). This list of specialty medications is not covered under the medical benefit for certain groups. All other drugs are limited to a 34-day supply. 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.) ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two
To request a printed copy of our pharmacy directory call us, 24 hours a day, 7 days a week. Visit the PlanID Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711 ). Your prescribing doctor has to approve this change to make sure its appropriate for your care. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 1-800-472-2689(TTY: 711). The drug has a high side effect potential. Enrollment in Blue MedicareRx (PDP) depends on contract renewal. 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. Attention Members: You can now view plan benefit documents online. : , . Please call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. 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. 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. 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. , 1-800-472-2689(: 711 ). Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. You pay nothing for these drugs and supplies covered under your Original Medicare medical benefit. However, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Last Updated: 03/01/2023. This list is for members who have the Medicare Supplement Senior SmartChoice plan. 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. Please note, this update does not apply to the Select Drug List and does not affect Medicaid and Medicare plans. Call to speak with a licensed insurance agent and find plans in your area. For Medi-Cal: Call Customer Service at 800-977-2273. They will work with the pharmacy and the Anthem HealthKeepers Plus plan to review your case and replace your medicines as needed. The Blue Cross name and symbol are registered marks of the Blue Cross Association. 2021 copyright of Anthem Insurance Companies, Inc. As a leader in managed healthcare services for the public sector, Anthem Blue Cross and Blue Shield Medicaid helps low-income families, children and pregnant women get the healthcare they need. . Your benefits include a wide range of prescriptions and over-the-counter (OTC) medicines. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The formulary, also known as a drug list, for each Blue MedicareRx plan includes most eligible generic and brand-name drugs. You may also submit your request online through Cover My Meds, Surescripts, or CenterX ePA portals. It features low $1 copays for tier 1 prescription drugs. Medicare evaluates plans based on a 5-Star rating system. Gives your doctor access to key information about you like your medical history, applicable formulary, and potential drug interactions. The benefit information provided is a brief summary, not a complete description of benefits. 2023 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary was updated on 08/30/2022. are Independent Licensees of the Blue Cross and Blue Shield Association,
Generally, a drug on a lower tier will cost less than a drug on a higher tier. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. 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 If you dont have Adobe Acrobat Reader, you can download a free copy by clicking HERE. If you misplace your medicine or it is stolen, contact your provider. : , , . Please note, this update does not apply to the Select Drug List and does not impact Medicaid and Medicare plans. covered by Anthem. It lists all the drugs found on the PDL, plus others. 500 MG VIAL [Zithromax], Everyone in your household can use the same card, including your pets. To ensure a smooth member transition and minimize costs, providers should review these changes and consider prescribing medications on formulary, if appropriate. during the calendar year will owe a portion of the account deposit back to the plan. To submit electronic prior authorization (ePA) requests online, use 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. MedicareRx (PDP) plans. We have two drug lists that show which drugs are in your plan. . HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. Your Medicare Part D prescription benefit is a 5-tier structure. 2022 Part D Formulary (List of Covered Drugs) Register on our website to choose to receive plan communications by email or online. Products & Programs / Pharmacy. This plan is closed to new membership. To get Nevada Medicaid benefits through Anthem, you must have limited income and live in one of our service areas. This list of specialty medications is not covered under the pharmacy benefit for certain groups. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. Prior authorization phone and fax numbers All prior authorizations will be managed by MedImpact. 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. We partner with CarelonRx specialty pharmacy and AcariaHealth to meet all your medication... 858-357-2612 beginning July 1, 2020 drugs on these lists are approved by the Food and drug Administration ( ). Or online must remove a drug immediately for safety reasons or due to its discontinuation by manufacturer... 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