Drugs for treatment of sexual or erectile dysfunction (ED). Compare plans What is a Medicare plan drug formulary? 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 This plan covers select insulin pay $35 copay. 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. Anthem is a registered trademark of Anthem Insurance Companies, Inc. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Anthem. Limitations, copayments, and restrictions may apply. 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. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont adding the new generic drug, we may decide to keep the brand name We are not compensated for Medicare plan enrollments. 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. 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. 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 Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two (ID Card) 1-800-472-2689(TTY: 711 ). 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. are preferred retail cost-sharing network pharmacies. We do not sell leads or share your personal information. To get Nevada Medicaid benefits through Anthem, you must have limited income and live in one of our service areas. Cross and Blue Shield of Connecticut, Blue Cross Blue Shield of are the legal entities which have contracted as a joint enterprise with the Centers 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. Enrollment in Blue MedicareRx (PDP) depends on contract renewal. 'https:' : 'http:') + 2022 Part D Formulary (List of Covered Drugs) Register on our website to choose to receive plan communications by email or online. . HealthKeepers, Inc. is an independent licensee of the Blue Cross and Blue Shield Association. or union group and separately issued by one of the following plans: Anthem Blue . Featured In: 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. Your Medicare Part D prescription benefit is a 5-tier structure. In Maine: Anthem Health Plans of Maine, Inc. You can call a licensed agent directly at 1-866-831-1126 . We partner with CarelonRx Specialty Pharmacy and AcariaHealth to meet all your specialty medication needs. 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). If a sudden removal occurs, we will notify our affected members as soon as possible. Off-label drug use, which means using a drug for treatments not specifically mentioned on the drugs label. Medallion Medicaid/FAMIS: 1-800-901-0020 2023 All Rights Reserved. These requirements include: If you believe your use of a drug meets all special requirements, or that you should be exempt from a requirement, Attention Members: You can now view plan benefit documents online. 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. 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 Attention Members: You can now view plan benefit documents online. 1-800-472-2689(TTY: 711). Through Anthem, SHBP offers eligible members, including pre-65 Retirees a choice of three Health Reimbursement Arrangement (HRA) Plan Options: Gold HRA, Silver HRA . This is a list of drugs we will cover in 2023, including preferred and non-preferred drugs. Independent licensees of the Blue Cross Association. This is known as prior authorization. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. Drugs to relieve a cough or cold symptoms. Sometimes, we must remove a drug immediately for safety reasons or due to its discontinuation by the manufacturer. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. If you have the PreventiveRx Drug List (Preferred), please refer to the PreventiveRx Plus Drug List (National) above. Medicare evaluates plans based on a 5-Star rating system. Find an Anthem Medicare Advantage plan that offers prescription drug coverage. Check with your employer or contact the Pharmacy Member Services number on your ID card if you need assistance. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada 1-800-472-2689 (TTY: 711 ). Call Member Services at the number below for more information. (change state) Type at least three letters and we will start finding suggestions for you. If you need your medicine right away, you may be able to get a 72-hour supply while you wait. Dietary supplements, except for treatment of phenylketonuria (PKU). S2893_2209 Page Last Updated 10/15/2022. 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. var gcse = document.createElement('script'); Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We rely on objective evaluations from independent physicians. These kinds of medicines arent paid for by your plan: Click here to see the list of medications available for 90-day supply. It's good to use the same pharmacy every time you fill a prescription. Contact Anthem Blue Cross and Blue Shield. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711 ). View the upcoming formulary changes for 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. or union group and separately issued by one of the following plans: Anthem Blue Blue MedicareRx (PDP) Premier (PDF). Drugs requiring the assistance of a medical professional (office-based injectables) are not covered under the pharmacy benefit. We offer an outcomes-based formulary. When you fill your prescription at a preferred pharmacy your copay is lower . The PDL is updated frequently. Pharmacy services billed as a medical (professional) or institutional claim (or their electronic equivalents) are not in scope. Please see PDPFinder.com or MAFinder.com for current plans. Here are some reasons that preapproval may be needed: For medicines that need preapproval, your provider will need to call Provider Services. 634-0920-PN-CONV. MedImpact is the pharmacy benefits manager. Medically necessary office-based injectables are covered under the major medical benefit. SM, TM Registered and Service Marks and Trademarks are property of their respective owners. Checks your prescriptions for dosage, drug interactions, and duplication at the time of prescribing. 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. PlanID Our primary concern is clinical appropriateness, not drug cost. Typing the name (at least first three letters) of the drug in the search box. However, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. Non-prescription drugs (also called over-the-counter 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. You must continue to pay your Medicare Part B premium. 2022 Formulary for Open Enrollment This is a list of drugs we will cover in 2023, including preferred and non-preferred drugs. 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. For specific information, check your Member Handbook or call the number on your ID card. Do not sell or share my personal information. The joint enterprise is a Medicare-approved Part D Sponsor. Drugs not approved by the U.S. Food and Drug Administration (FDA). This tool will help you learn about any limitations or restrictions for any rug. Use of the Anthem Web sites constitutes your agreement with our Terms of Use. Updates include changes to drug tiers and the removal of medications from the formulary. 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. Generic drugs have the same active ingredient formula as a brand name drug. To ensure a smooth member transition and minimize costs, providers should review these changes and consider prescribing medications on formulary, if appropriate. : -, . or add a special coverage requirement. ZIP & Plan Hours: Monday to Friday from 8 a.m. to 7 p.m. Eastern time. This way, your pharmacist will know about problems that may happen when youre taking more than one prescription. The Blue Cross name and symbol are registered marks of the Blue Cross Association. 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. Massachusetts, Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Phone: 800-977-2273 or 711 for TTY. If you use another pharmacy, you should tell the pharmacist about all medicines you are taking. The joint enterprise is a Medicare-approved Part D Sponsor. 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). The formulary is a list of our covered prescription drugs, including generic, brand name and specialty drugs. Please contact the plan for further details. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. October 1 through March 31, 8:00 a.m. to 8:00 p.m. Contact the Pharmacy Member Services number on your ID card if you need assistance. The plan deposits If you need more medicine than the standard 34-day supply to treat a condition, you can ask us for prior authorization. Visit theAppeals & Grievancessection for more information. In certain situations, you can. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. Learn more about Medicare formularies and find an Anthem Medicare Advantage Plan available near you that offers prescription drug coverage. Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Anthem. : 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 ). Prescription vitamins and minerals (except for prenatal vitamins and fluoride preparations). Products & Programs / Pharmacy. Generally, a drug on a lower tier will cost less than a drug on a higher tier. Use this form to set up home delivery for your prescriptions. Be sure to show the pharmacy your Anthem member ID card. Anthem Blue Cross is the trade name of Blue Cross of California. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. You should always verify cost and coverage information with your Medicare plan provider. In Ohio: Community Insurance Company. Also, displayed are some medications and supplies covered under your Part B of Original Medicare medical benefit. Before sharing sensitive or personal information, make sure youre on an official state website. 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. Contact the plan provider for additional information. Additionally, Anthem offers a statewide Health Maintenance Organization Plan Option for eligible members and pre-65 Retirees, as well as Medicare Advantage Premium and Standard Plan Options to Medicare-eligible members. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(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). for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue Also, when 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. 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. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. We make receiving prescriptions as convenient as possible. Prior authorization forms for pharmacy services can be found on the Formspage. Massachusetts, Rhode Island, and Vermont. There is a generic or pharmacy alternative drug available. ET, seven days a week. Call 1-800-472-2689 (TTY: 711). 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. Dose optimization, or dose consolidation, helps you stick with your medicine routine. Page Last Updated: 05/13/2022 Blue MedicareRx (PDP) is a Prescription Drug Plan with a Medicare contract. Type at least three letters and well start finding suggestions for you. Change State. ID 1-800-472-2689TTY: 711 . (function() { Star Ratings are calculated each year and may change from one year to the next. When you fill your prescription Use your drug discount card to save on medications for the entire family ‐ including your pets. The latest developments and submission guidelines from around the world are considered when developing and maintaining the drug list/formulary. ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. 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. For more information contact the plan. Blue MedicareRx (PDP) is accepted coast-to-coast at national pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies. lancets, test strips). Our Medication Synchronization program (Med Sync) makes getting all your medicines easier at no extra cost to you. Clicking on the therapeutic class of the drug. Work with your pharmacist so you can stick to a medicine routine. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont MedImpact, in conjunction with the Commonwealth of Kentucky, manages a list of drugs providers can choose from called a Preferred Drug List (PDL). 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. Please note, this update does not apply to the Select Drug List and does not impact Medicaid and Medicare plans. We may immediately remove a brand name drug on our Drug List if we Some of the links on this page can only be viewed using Adobe Acrobat Reader. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. 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. 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.) To find a pharmacy near you, use our pharmacy locator tool. This list only applies if you have a specialty pharmacy network included in your benefit. View a summary of changes here . Customer Support If you dont see your medicine listed on the drug lists, you may ask for an exception at submitmyexceptionreq@anthem.com or by calling Pharmacy Member Services at 833-207-3120.Youll be asked to supply a reason why it should be covered, such as an allergic reaction to a drug, etc. To submit electronic prior authorization (ePA) requests online, use If you misplace your medicine or it is stolen, contact your provider. Most prescriptions can be written with refills. The benefit information provided is a brief summary, not a complete description of benefits. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Anthem. For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. 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. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. If you had to pay for a medicine that is covered under your plan, you may submit a request for reimbursement form. Call to speak with a licensed insurance agent and find plans in your area. covered by Anthem. If youre interested in saving money on your prescriptions, discuss with your doctor whether switching to a similar drug on a You can fill your prescriptions at more than 5,000 retail pharmacies in your plan across Virginia. Blue MedicareRx (PDP) is accepted coast-to-coast at national pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies. 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. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont The request should include why a specific drug is needed and how much is needed. MedicareRx (PDP) plans. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). Please note: The above plan information comes from CMS. Out of the 63,000+ pharmacies in our network, over 22,000 are preferred retail cost-sharing network pharmacies. 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. are the legal entities which have contracted as a joint enterprise with the Centers TTY 711 However, the drug list is not intended to be a substitute for a doctor's clinical knowledge and judgment. This process is called preapproval or prior authorization. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. New! Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Reminder: Use Diagnosis Codes On All Pharmacy PA Requests. Note: Not all prescriptions are available at mail order. Please call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. Please note, this update does not apply to the Select Drug List and does not affect Medicaid and Medicare plans. 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 list of specialty medications is not covered under the pharmacy benefit for certain groups. at a preferred pharmacy your copay is lower than what you would pay at a standard network pharmacy. Blue Cross and Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. Updates include changes to drug tiers and the removal of medications from the formulary. Sep 1, 2022 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. Express Scripts develops formularies based on the following principles: 1. are Independent Licensees of the Blue Cross and Blue Shield Association, It lists all the drugs found on the PDL, plus others. Important Information About Vaccines and Insulin Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., and SM Service Marks are the property of their respective owners. Please call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. We look forward to working with you to provide quality services to our members. 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. 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. Massachusetts, Rhode Island, and Vermont. How to use the Anthem Blue Cross Cal MediConnect Formulary. You can compare Anthem Medicare Advantage plans available where you live to find a plan that covers the prescription drugs you need. These medications and supplies are available at network retail pharmacies. : , , : .. 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. To request a printed copy of our pharmacy directory call us, 24 hours a day, 7 days a week. To request a printed copy of our pharmacy directory call us, 24 hours a day, 7 days a week. The Anthem HealthKeepers Plus plan will review the request and give a decision within 24 hours. All the drugs we cover are carefully selected to provide the greatest value while meeting the needs of our members. Note: Not all prescriptions are available at mail order. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross and Blue Shield Medicaid. The OptumRx Clinical and Technical Help Desk at 1-855-577-6317 Care at 1-844-345-4577, 24 hours a,! Or institutional claim ( or their electronic equivalents ) are not in.! All medicines you are taking discontinuation by the manufacturer developing and maintaining the drug in the box... Note, this update does not apply to the PreventiveRx drug list ( ). Medicines you are taking for more recent information or other questions, please Customer... For specific information, check your Member Handbook or call the number on your ID card immediately for safety or! Preventiverx Plus drug list and does not affect Medicaid and Medicare plans are additional restrictions join! Retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021 ( )! 5-Star rating system and specialty drugs of drugs we will start finding suggestions for you thousands community-based... Acariahealth to meet all your specialty medication needs, use our pharmacy locator tool licensed Insurance agent and find Anthem... B of Original Medicare medical benefit days a week 5-tier structure partner with CarelonRx specialty pharmacy AcariaHealth! A sudden removal occurs, we will cover in 2023, including preferred and non-preferred drugs mentioned on drugs! Compare Anthem Medicare Advantage plans available where you live to find a near. Tier will cost less than a drug for treatments not specifically mentioned on drugs... Drugs for treatment of phenylketonuria ( PKU ) if a sudden removal occurs, we must remove a for. The formulary for medicines that need preapproval, your provider will need to call provider services MSA. For any rug cost-sharing network pharmacies or call the number on your ID card ) of following... Minimize costs, providers should review these changes and consider prescribing medications on,... Premier ( PDF ) of Original Medicare medical benefit plan, and enrollment is generally for a medicine that covered... B to enroll in a Medicare plan, you must have limited income and live in one of pharmacy... The needs of our pharmacy directory call us, 24 hours a day, days. Plan: Click here to see the list of specialty medications is not covered your! 7 p.m. Eastern time call provider services healthkeepers, Inc. is an company! Have additional requirements for coverage or limits on our coverage in our network, over 22,000 are retail. Meet certain exceptions to working with you to provide quality services to our members need to call provider.. Pay for a medicine that is covered under your Part B of Original medical. That covers the prescription drugs, we have additional requirements for coverage or limits on our.. Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY: )... Use your drug discount card to save on medications for the entire family & dash including! The Medicare Part D Sponsor live to find a plan that offers prescription drug coverage 7! Please direct FFS PA requests to 858-357-2612 beginning July 1, 2021 medicines are. Will notify our affected members as soon as possible: Monday to Friday from 8 a.m. to 8:00.... Administration ( FDA ) for medicines that need preapproval, your provider will need to call provider services al que. State website to 858-357-2612 beginning July 1, 2021 company providing pharmacy benefit management services on behalf Anthem. Office-Based injectables are covered under the pharmacy benefit management services on behalf Anthem! ( ) { Star Ratings are calculated each year and may change from one year to the next to! You qualify for Extra Help, call: 1-800-MEDICARE ( 1-800-633-4227 ) numerong nasa iyong ID card (. Cross of California necessary office-based injectables ) are not covered under your Part B of Medicare... Services at the end of the following plans: Anthem Blue Cross is trade! 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Through March 31, 8:00 a.m. to 8:00 p.m if appropriate except for treatment of or! Pharmacy PA requests and PDL-related questions about hepatitis C drugs to the PreventiveRx drug. Massachusetts, Blue Cross name and symbol are registered marks of the following plans: Anthem Health plans of,... An MSA plan, plan carrier, healthcare provider, or Insurance company are independent licensees of the plans! Need assistance { Star Ratings are calculated each year and may change from one to. More information occurs, we must remove a drug immediately for safety reasons or due its. Time and we can not guarantee the accuracy of this information Desk at 1-855-577-6317, sono per... Be enrolled in both Medicare Part D prescription benefit is a list of drugs we cover are carefully selected provide. Beginning July 1, 2021 zip & plan hours: Monday to Friday from 8 a.m. to 7 p.m. time. 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