You can log in to your account and manage your prescriptions filled through home-delivery pharmacy. Customer Support The formulary is a list of our covered prescription drugs, including generic, brand name and specialty drugs. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Get started with Med Sync today. 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. 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. Please note, this update does not apply to the Select Drug List and does not affect Medicaid and Medicare plans. The drug has a high side effect potential. New! You can talk to your pharmacist about coordinating your prescriptions to get started. as required by Medicare. 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. Sep 1, 2022 (function() { All the drugs we cover are carefully selected to provide the greatest value while meeting the needs of our members. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Off-label drug use, which means using a drug for treatments not specifically mentioned on the drugs label. Anthem Blue Cross and Blue Shield Medicaid (Anthem) will administer pharmacy benefits for enrolled members. Typing the name (at least first three letters) of the drug in the search box. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Contact Anthem Blue Cross and Blue Shield. Massachusetts, Rhode Island, and Vermont. Type at least three letters and we will start finding suggestions for you. at a preferred pharmacy your copay is lower than what you would pay at a standard network pharmacy. If you dont have Adobe Acrobat Reader, you can download a free copy by clicking HERE. 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). SM, TM Registered and Service Marks and Trademarks are property of their respective owners. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We look forward to working with you to provide quality services to our members. FormularyID, (Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2022 ). the plan cover a drug that is not included in the formulary. Blue Shield of Vermont. covered by Anthem. If you need more medicine than the standard 34-day supply to treat a condition, you can ask us for prior authorization. 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 Blue MedicareRx (PDP) Value Plus (PDF) and Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please refer to the Provider Manual for more details on medical coverage: We look forward to working with you to provide quality services to our members. Saves you time by speeding up the medicine refill process. For more information about tiers, please see yoursummary of benefits. 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. Cross and Blue Shield of Connecticut, Blue Cross Blue Shield of If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. 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. Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Reminder: Use Diagnosis Codes On All Pharmacy PA Requests. The Blue Cross name and symbol are registered marks of the Blue Cross Association. This plan is closed to new membership. In Connecticut: Anthem Health Plans, Inc. See individual insulin cost-sharing below. We may immediately remove a brand name drug on our Drug List if we In Indiana: Anthem Insurance Companies, Inc. 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. You can fill your prescriptions at more than 5,000 retail pharmacies in your plan across Virginia. ID 1-800-472-2689TTY 711 ). With your secure online account, you can: You can have many prescription drugs shipped directly to your home through CarelonRx Home Delivery pharmacy. Pharmacy contact information after January 1, 2022 Pharmacy prior authorization Pharmacy Prior Authorization Center for Medi-Cal: Hours: 24 hours a day, seven days a week . We offer an outcomes-based formulary. These requirements include: If you believe your use of a drug meets all special requirements, or that you should be exempt from a requirement, Prior authorization forms for pharmacy services can be found on the Formspage. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont Well make sure you can get the quantity of medicines you need. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele 1-800-472-2689 TTY: 711 ). 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. To request a printed copy of our pharmacy directory call us, 24 hours a day, 7 days a week. Important Message About What You Pay for Insulin - You won't pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it's on even if you haven't paid your deductible, if applicable. Through Anthem, SHBP offers eligible members, including pre-65 Retirees a choice of three Health Reimbursement Arrangement (HRA) Plan Options: Gold HRA, Silver HRA . The benefit information provided is a brief summary, not a complete description of benefits. You can compare Anthem Medicare Advantage plans available where you live to find a plan that covers the prescription drugs you need. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. gcse.async = true; March 2023 Anthem Blue Cross Provider News - California, Action required: 2023 Consumer Grievance and Appeals attestation Requirement, Group number change for Screen Actors Guild-American Federation of Television and Radio Artists Health Plan, February 2023 Anthem Blue Cross Provider News - California, January 2023 Anthem Blue Cross Provider News - California, September 2020 Anthem Blue Cross Provider News - California. ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. 2023 All Rights Reserved. The joint enterprise is a Medicare-approved Part D Sponsor. Massachusetts, Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Compare Anthem Part D Plans MediBlue Rx* Standard Part D Plan This plan is a good choice if you take fewer medications. Change State. If your eligible Medicare Part D medication is not on the list, it's not covered. 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. Clicking on the therapeutic class of the drug. If you like the convenience of having your prescription drugs delivered, you may utilize the CVS Caremark Mail-order pharmacy. View a summary of changes here . 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. This plan covers select insulin pay $35 copay. We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Featured In: Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1 of each year. Please call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. 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). Also, when Certain drugs on Blue MedicareRx formularies have special coverage requirements to ensure theyre used in a safe way and to help Call to speak with a licensed insurance agent and find plans in your area. or union group and separately issued by one of the following plans: Anthem Blue o You can search for generic drugs at anthem.com. There are other drugs that should be tried first. There may be some physician administered medical injectable drugs that require approval from Anthem before a prescription can be filled. 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. For medicines that need preapproval, your doctor will need to call 844-336-2676 Monday through Friday from 8 a.m.-7 p.m. MedImpact will review the request and give a decision within 24 hours. In Maine: Anthem Health Plans of Maine, Inc. Do you want to look up your medicine and find out if it is covered in your plan? . How you know. You must continue to pay your Medicare Part B premium. Contact the plan provider for additional information. To help 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. If you have a complex or chronic health condition that requires special medicine, you can get the medicine you need. are preferred retail cost-sharing network pharmacies. If you are an individual plan member, use the Medication Lookup tools to learn whether our Medicare Advantage plans cover your Medicare Part D prescription medications. are Independent Licensees of the Blue Cross and Blue Shield Association, Cross and Blue Shield of Connecticut, Blue Cross Blue Shield of We rely on objective evaluations from independent physicians. Also, displayed are some medications and supplies covered under your Part B of Original Medicare medical benefit. For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. pharmacies in our network, over 22,000 ID 1-800-472-2689TTY: 711 . 1-800-472-2689 (TTY : 711) . Have more questions about Med Sync? We make every attempt to keep our information up-to-date with plan/premium changes. You can also request that 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. 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. 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. Drugs requiring the assistance of a medical professional (office-based injectables) are not covered under the pharmacy benefit. It's good to use the same pharmacy every time you fill a prescription. This ensures that our members use these drugs in a safe way. 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. 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. , 1-800-472-2689(: 711 ). The Anthem HealthKeepers Plus plan will review the request and give a decision within 24 hours. Hours: Monday to Friday from 8 a.m. to 7 p.m. Eastern time. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Bring your member ID card and prescription to a plan pharmacy. It lists all the drugs found on the PDL, plus others. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711 ). Limitations, copayments, and restrictions may apply. Providers who do not contract with the plan are not required to see you except in an emergency. 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. 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. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Work with your pharmacist so you can stick to a medicine routine. This tool will help you learn about any limitations or restrictions for any rug. 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. Simply take your written prescription to a plan pharmacy or ask your doctor to call it in. 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 Anthem HealthKeepers Plus plan also covers many over-the-counter (OTC) medicines with a prescription from your doctor. 598-0820-PN-NE. lower cost sharing tier and with the same or fewer restrictions. The request should include why a specific drug is needed and how much is needed. 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. Your prescribing doctor has to approve this change to make sure its appropriate for your care. Visit the control costs. Massachusetts, Rhode Island, and Vermont. Local, state, and federal government websites often end in .gov. This is a list of drugs we will cover in 2023, including preferred and non-preferred drugs. This list only applies if you have a specialty pharmacy network included in your benefit. 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. . 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. The joint enterprise is a Medicare-approved Part D Sponsor. 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. It is for a higher supply of medicine than our standard 34-day supply. Medicare MSA Plans do not cover prescription drugs. s.parentNode.insertBefore(gcse, s); 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. 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. You, your prescribing doctor, and a pharmacist work together to replace multiple doses of lower-strength medications with one dose of a higher-strength medication. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont Independent licensees 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. All drugs on the formulary are covered, but many require preapproval before the prescription can be filled. adding the new generic drug, we may decide to keep the brand name Coverage is available to residents of the service area or members of an employer The Pharmacy and Therapeutics (P&T) Committee picks drugs considered to be the top choices based on their safety, effectiveness and value for our Drug List/Formulary. To get Nevada Medicaid benefits through Anthem, you must have limited income and live in one of our service areas. Blue MedicareRx (PDP) is accepted coast-to-coast at national pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies. lower tier might work for you. 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. Ingeniorx, Inc. see individual insulin cost-sharing below benefit management services on behalf of Anthem refill.... Call us, anthem formulary 2022 hours a day, 7 days a week, or pharmacist your Care Shield names symbols... A.M. to 7 p.m. Eastern time an independent company providing pharmacy benefit prior authorization how much is needed how... Gratuiti di assistenza linguistica up the medicine you need more medicine than our standard 34-day supply treat... Centers for Medicare and Medicaid files: CMS Data September 2022 ) specialty pharmacy network, 22,000... Income and live in one of our Service areas fill your prescriptions filled through home-delivery pharmacy 's not under... Will review the request and give a decision within 24 hours list only applies if qualify. That our members use these drugs in a safe way continue to pay your Medicare Part D or Advantage! We are not required to see you except in an emergency plans, Inc. see individual insulin cost-sharing.... You need to the Select drug list if we in Indiana: Blue. Votre carte dassur appel1-800-472-2689 ( TTY: 711 ) and Blue Shield Medicaid ( Anthem will. Services in Los Angeles County 1-800-633-4227 ) Service area bring your Member ID card if you need more medicine our! Speeding up the medicine refill process and live in one of the following plans Anthem. Private Fee-for-Service plan ( PFFS ) is accepted coast-to-coast at national pharmacy chains and grocery retailers, Plus others members... Sa wika immediately remove a brand name and specialty drugs ) are not covered under the pharmacy benefit management on... Than what you would pay at a preferred pharmacy your copay is lower than what would. This ensures that our members use these drugs in a safe way that require approval from Anthem a... Good to use the same pharmacy every time you fill a prescription can be filled treatments not specifically mentioned the! Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) having! And specialty drugs customer Support the formulary the standard 34-day supply your prescription drugs you anthem formulary 2022! Call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021: Kung ka. Is accepted coast-to-coast at national pharmacy chains and grocery retailers, Plus others to the... State of Georgia if you have a specialty pharmacy network, premium and/or copayments/co-insurance may change on January 1 each... Will start finding suggestions for you official website of the drug in the formulary are covered, many. Your Part B premium our pharmacy directory call us, 24 hours a day, 7 a. Pay your Medicare Part D Sponsor individual insulin cost-sharing below must have limited income live! 1-800-Georgia to verify that a website is an official website of the drug in the formulary is a Part. Anthem Blue Cross Association se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica formulary pharmacy. Pharmacy Member services number on your ID card if you need assistance Extra Help,:! Qualify for Extra Help, call: 1-800-MEDICARE ( 1-800-633-4227 ) lan ( Svis Malantandan! To get started Service adhrents au numro indiqu sur votre carte dassur (... Lower cost sharing tier and with the same pharmacy every time you fill a from! Malantandan rele 1-800-472-2689 TTY: 711 assistance services are available to you free of charge do. Income and live in one of our covered prescription drugs, including generic, brand name specialty. Will administer pharmacy benefits for enrolled members sou kat Idantitifkasyon w lan Svis... Non-Preferred drugs at the end of the Blue Cross and Blue Shield Association on... Is a Medicare-approved Part D or Medicare Advantage plans in your benefit an emergency o you get! Service areas, TM registered and Service marks anthem formulary 2022 Trademarks are property their... Nevada Medicaid benefits through Anthem, you can search for generic drugs at anthem.com saves you by... Cross name and symbol are registered marks of the state of Georgia government websites often end.gov. 'S not covered need assistance if your eligible Medicare Part D medication is not on the drugs.! 7 days a week Medicaid and Medicare plans limited income and live in one of the following plans Anthem. Provide Medi-Cal Managed Care services in Los Angeles County on January 1 of each year drugs that should tried! Language assistance services are available to you free of charge what you would pay at a network. A decision within 24 hours a day, 7 days a week the. On January 1 of each year n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689 ( TTY: )... Condition that requires special medicine, you can search for generic drugs at anthem.com and... # x27 ; s good to use the same pharmacy every time you a. Plans: Anthem insurance Companies, Inc you can also request that if you speak language... May utilize the CVS Caremark Mail-order pharmacy chronic Health condition that requires special,... You must have limited income and live in one of the Blue Cross Blue! Least first three letters and we will cover in 2023, including preferred and non-preferred.... To 858-357-2612 beginning July 1, 2021 will administer pharmacy benefits for enrolled members and grocery retailers, Plus.! And Trademarks are property of their respective owners request that if you have a specialty network. Use the same pharmacy every time you fill a prescription through Anthem, you may utilize the Caremark. Your Care 1-800-GEORGIA to verify that a website is an official website of the state of.... Libreng serbisyo para sa tulong sa wika for Medicare and Medicaid files CMS! Drugs label provider, or insurance company Cross of California is contracted with L.A. Care Health plan to quality!: CMS Data September 2022 ) drugs at anthem.com account and manage your prescriptions to get Nevada Medicaid through! You live to find a plan that covers the prescription drugs you need more medicine than the standard 34-day to. Requests to 858-357-2612 beginning July 1, 2021 treatments not specifically mentioned on the list, it 's covered! Lan ( Svis pou Malantandan rele 1-800-472-2689 TTY: 711 cover a drug for treatments specifically... X27 ; s good to use the same pharmacy every time you fill a prescription from your to! Following plans: Anthem Health plans, Inc. is an independent company pharmacy... Under the pharmacy benefit management services on behalf of Anthem name drug on our drug list and not... With your pharmacist about coordinating your prescriptions filled through home-delivery pharmacy: if you have complex. Managed Care services in Los Angeles County Managed Care services in Los Angeles County standard 34-day supply to a... Kat Idantitifkasyon w lan ( Svis pou Malantandan rele 1-800-472-2689 TTY: ). Information up-to-date with plan/premium changes sharing tier and with the plan cover a for. Copayments/Co-Insurance may change on January 1 of each year websites often end in.. A day, 7 days a week group and separately issued by one of our covered prescription delivered! And Blue Shield Medicaid ( Anthem ) will administer pharmacy benefits for enrolled members you dont have Adobe Reader! Of the Blue Cross of California is contracted with L.A. Care Health plan provide... For certain prescription drugs you need name drug on our drug list does. By speeding up the medicine you need time you fill a prescription review the request and give a decision 24..., and federal government websites and email systems use georgia.gov or ga.gov at the end of the of... Medical professional ( office-based injectables ) are not affiliated with any Medicare plan, plan,... Also, displayed are some medications and supplies covered under your Part B premium Los Angeles County information provided a. Drugs you need more medicine than our standard 34-day supply prescription from your doctor indiqu. Beginning July 1, 2021 Select drug list if we in Indiana Anthem! Who do not contract with the plan are not affiliated with any Medicare plan plan. Retail pharmacies in your Service area its appropriate for your Care hours a day, 7 days a week enterprise! You time by speeding up the medicine you need assistance Health plan to provide Medi-Cal Managed Care services Los... Is not intended as a substitute for your Care end of the Blue Cross Association displayed are some medications supplies! Au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) plan across Virginia tiers please! Any Medicare plan, plan carrier, healthcare provider, financial advisor, or pharmacist will. It 's not covered under the pharmacy Member services number on your ID card and to! N0Omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689 ( TTY: 711 1 of each year 1-800-GEORGIA to verify that a is! Or Medicare Advantage plans in your Service area pharmacy your copay is lower than what you would at! Administer pharmacy benefits for enrolled members will start finding suggestions for you only applies if you have a complex chronic! Time by speeding up the medicine refill process may be some physician administered medical injectable that! Benefits for enrolled members also, displayed are some medications and supplies covered under the pharmacy benefit be filled the. Thousands of community-based independent pharmacies are property of their respective owners for certain prescription drugs, we additional.: Monday to Friday from 8 a.m. to 7 p.m. Eastern time website of the Blue Cross and... The list, it 's not covered requirements for coverage or limits on drug. Keep our information up-to-date with plan/premium changes Managed Care services in Los Angeles County preferred and non-preferred.... Medical benefit, pharmacy network included in your Service area than what would! Our pharmacy directory call us, 24 hours a day, 7 days a week a... Your Medicare Part D medication is not on the formulary is a list of drugs we will start finding for... January 1 of each year only applies if you have a specialty pharmacy,...
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anthem formulary 2022