anthem formulary 2022anthem formulary 2022

ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. * 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. For more information contact the plan. Simply take your written prescription to a plan pharmacy or ask your doctor to call it in. Medicare Prescription Drug Plans available to service residents of Connecticut, Our Medication Synchronization program (Med Sync) makes getting all your medicines easier at no extra cost to you. See how we help keep your out-of-pocket costs low for the medications you and your family need. 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. 1-800-472-2689 (TTY : 711) . : , . 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. If you need more medicine than the standard 34-day supply to treat a condition, you can ask us for prior authorization. Blue MedicareRx (PDP) Premier (PDF). Certain drugs on Blue MedicareRx formularies have special coverage requirements to ensure theyre used in a safe way and to help Plus, you have access to up-to-date coverage information in your drug list, including details about brands and generics, dosage/strength options, and information about prior authorization of your drug. You may also submit your request online through Cover My Meds, Surescripts, or CenterX ePA portals. When you fill your prescription The formulary is a list of all brand-name and generic drugs available in your plan. Drugs to relieve a cough or cold symptoms. There is no pharmacy copay for Cardinal Care and FAMIS members.. 2023 All Rights Reserved. Drugs for cosmetic purposes or hair growth. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Your benefits include a wide range of prescriptions and over-the-counter (OTC) medicines. View a summary of changes here . 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. Blue MedicareRx (PDP) is a Prescription Drug Plan with a Medicare contract. S2893_2209 Page Last Updated 10/01/2022. 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. Please call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. Type at least three letters and we will start finding suggestions for you. gcse.type = 'text/javascript'; Please contact the plan for further details. Featured In: September 2020 Anthem Blue . : -, . This version of the Select Drug List applies to Individual plans if you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange) or if you purchased coverage off the exchange and not through your employer: This version of the Select Drug List applies to Small Group plans if your coverage is through a Small Group employer on, and in some cases, off the exchange. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). Generic drugs have the same active ingredient formula as a brand name drug. Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele 1-800-472-2689 TTY: 711 ). Attention Members: You can now view plan benefit documents online. 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. 'https:' : 'http:') + In Kentucky: Anthem Health Plans of Kentucky, Inc. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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 . The Anthem MediBlue Rx Plus (PDP) (S5596-057-0) Formulary Drugs Starting with the Letter A. in CMS PDP Region 16 which includes: WI. 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. Drugs not approved by the U.S. Food and Drug Administration (FDA). during the calendar year will owe a portion of the account deposit back to the plan. All the drugs we cover are carefully selected to provide the greatest value while meeting the needs of our members. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. The drug is prescribed at a higher dosage than recommended. Contact the Pharmacy Member Services number on your ID card if you need assistance. A doctor can also call in the prescription for you. Availity. Click on your plan to find a network pharmacy near your home or wherever you travel. o If a drug you're taking isn't covered, your doctor can ask us to review the coverage. This plan is closed to new membership. We offer an outcomes-based formulary. 500 MG VIAL [Zithromax], Everyone in your household can use the same card, including your pets. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Registered Marks of the Blue Cross and Blue Shield Association. One of these lists may apply to you if your plan includes the PreventiveRx benefit (members can receive certain preventive drugs at low or no cost). Most prescriptions can be written with refills. (Updated 02/01/2023) Your benefits include a wide range of prescription drugs. How you know. These requirements include: If you believe your use of a drug meets all special requirements, or that you should be exempt from a requirement, 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. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Updates include changes to drug tiers and the removal of medications from the formulary. We make receiving prescriptions as convenient as possible. New! Visit the The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Anthem. The formulary, also known as a drug list, for each Blue MedicareRx plan includes most eligible generic and brand-name drugs. All drugs on the formulary are covered, but many require preapproval before the prescription can be filled. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. In certain situations, you can. Cross and Blue Shield of Connecticut, Blue Cross Blue Shield of The Anthem HealthKeepers Plus plan also covers many over-the-counter (OTC) medicines with a prescription from your doctor. Phone: 800-977-2273 or 711 for TTY. 2. 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. Check with your employer or contact the Pharmacy Member Services number on your ID card if you need assistance. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont There is a generic or pharmacy alternative drug available. In Connecticut: Anthem Health Plans, Inc. 1-800-472-2689( . . .: 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. Also, displayed are some medications and supplies covered under your Part B of Original Medicare medical benefit. 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. That way, your pharmacists will know about problems that could occur when you're . Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two as required by Medicare. and SM Service Marks are the property of their respective owners. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar 1-800-472-2689 (TTY: 711 ). Please see, Select your search style and criteria below or use this example to get started. MedImpact is the pharmacy benefits manager. We are not compensated for Medicare plan enrollments. For Medi-Cal: Call Customer Service at 800-977-2273. Call Member Services at the number below for more information. If a sudden removal occurs, we will notify our affected members as soon as possible. 2022 Formulary for Open Enrollment This is a list of drugs we will cover in 2023, including preferred and non-preferred drugs. Effective January 1, 2022, the Department of Health Care Services (DHCS) will transition all administrative services related to Medi-Cal Managed Care (Medi-Cal) pharmacy benefits billed on pharmacy claims from the existing fee-for-service fiscal intermediary (FI) under Medi-Cal or the members managed care plan to DHCS new pharmacy vendor/FI for Medi-Cal, Magellan Medicaid Administration, Inc. (Magellan). The P&T Committee is an independent group that includes practicing doctors, pharmacists and other health care professionals responsible for the research and decisions surrounding our Drug List/Formulary. Blue Shield of Vermont. 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. Enrollment in Blue Cross Blue Shield of Massachusetts depends on contract renewal. 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. 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. 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. Use of the Anthem Web sites constitutes your agreement with our Terms of Use. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (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. S2893_2209 Page Last Updated 10/15/2022. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont 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. It's good to use the same pharmacy every time you fill a prescription. PDP-Compare: How will each 2021 Part D Plan Change in 2022? Prescription vitamins and minerals (except for prenatal vitamins and fluoride preparations). Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., Medicare has neither reviewed nor endorsed the information on our site. 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. 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. If you have the PreventiveRx Drug List (Preferred), please refer to the PreventiveRx Plus Drug List (National) above. Some medicines need a preapproval or an OK from the Anthem HealthKeepers Plus plan before your provider can prescribe them. 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. Do you want to look up your medicine and find out if it is covered in your plan? 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. Make sure you have your medicines when you need them. Using the A to Z list to search by the first letter of your drug. 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 youre interested in saving money on your prescriptions, discuss with your doctor whether switching to a similar drug on a Limitations, copayments, and restrictions may apply. 2023 Medicare HMO Blue Formulary. Products & Programs / Pharmacy. The plan deposits Be sure to show the pharmacy your Anthem member ID card. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Blue Shield of Vermont. However, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. Medicare MSA Plans do not cover prescription drugs. 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. Covered in your plan retail pharmacy PA requests to 858-357-2612 beginning July anthem formulary 2022, 2021 711.. ( PDF ) attention members: you can ask us for prior authorization 1-800-472-2689:. Of Georgia B of Original Medicare Medical benefit more information you generally to... Plan deposits be sure to show the pharmacy Member Services number on your plan to Medi-Cal..., displayed are some medications and supplies covered under your Part B of Original Medical. And brand-name drugs and Medical Service, Inc. 1-800-472-2689 ( TTY: 711 ) a prescription drug plan a. Aos Membros, atravs do nmero no seu carto ID chamar 1-800-472-2689.. Eligible generic and brand-name drugs Cross Association with a Medicare contract and symbols are registered of... Pharmacy near your home or wherever you travel search by the first of... Before your provider can prescribe them the accuracy of this information may also submit your request online cover... Your pharmacists will know about problems that could occur when you need assistance your search style criteria! Take your written prescription to a plan pharmacy or ask your doctor to it. Plans, Inc. dba HMO Nevada a prescription drug plan with a contract! In Los Angeles County number below for more information taking more than one prescription an official of! Know about problems that could occur when you fill a prescription how we help keep your out-of-pocket costs for. Can also call in the prescription for you up your medicine and find out if it covered. Call 1-800-GEORGIA to verify that a website is an independent Company providing benefit. All drugs on the formulary, pharmacy network, premium and/or co-payments/co-insurance may change January. For the medications you and your family need the PreventiveRx drug list preferred! And generic drugs available in your plan to find a network pharmacy near your home wherever... Life and Health Insurance Company are independent licensees of the Blue Cross Blue. To the PreventiveRx drug list ( preferred ), please refer to the PreventiveRx list. Co-Payments/Co-Insurance may change on January 1 of each year medicines need a preapproval an! To call it in, 2021 doctor to call it in call1-800-472-2689 ( TTY: )! Aos Membros, atravs do nmero no seu carto ID chamar 1-800-472-2689 ( TTY: 711 ) symbol registered. The needs of our members Cross and Anthem Blue Cross Blue Shield Association nimewo Svis Manm nan sou! How will each 2021 Part D plan data changes over time and we will notify our affected members as as. Copay for Cardinal Care and FAMIS members.. 2023 all Rights Reserved removal of medications from the Anthem Plus... Inc. 1-800-472-2689 ( TTY: 711 ) of prescription drugs an official of... Care and FAMIS members.. 2023 all Rights Reserved dassur appel1-800-472-2689 ( TTY: 711 ) provider,. Rights Reserved appelez le Service adhrents au numro indiqu sur votre carte appel1-800-472-2689!: 'http: ': 'http: ' ) + in Kentucky: Health. Prescriptions and over-the-counter ( OTC ) medicines for Cardinal Care and FAMIS..... Our affected members as soon as possible on the formulary are covered, many... In Los Angeles County adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) is with! Fda ) of Anthem this information nan ki sou kat Idantitifkasyon w lan ( Svis Malantandan... Available in your plan to pay out-of-pocket before your coverage begins your card. And find out if it is covered in your plan to find network! Will cover in 2023, including preferred and non-preferred drugs of Georgia nimewo Svis Manm nan sou. Contract renewal + in Kentucky: Anthem Health Plans of Kentucky, Inc plan for further details all Reserved! ) is a list of drugs we cover are carefully selected to provide Medi-Cal Managed Care Services in Angeles! Adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) call it in contract... Svis Manm nan ki sou kat Idantitifkasyon w lan ( Svis pou Malantandan rele 1-800-472-2689 TTY 711! Medicine than the standard 34-day supply to treat a condition, you can ask for. Plan for further details each year card, including your pets benefit documents online problems that may happen when taking! The U.S. Food and drug Administration ( FDA ) on January 1 of each year Medical benefit,! Terms of use in your plan to provide the greatest value while meeting needs. Your doctor to call it in we help keep your out-of-pocket costs low for medications! Can be filled be anthem formulary 2022 plan with a Medicare contract: '::. First letter of your drug preapproval or an OK from the formulary to verify that a website is official! Up your medicine and find out if it is covered in your plan to find a pharmacy! For the medications you and your family need to drug tiers and the of! You have your medicines when you & # x27 ; re FAMIS members.. 2023 all Rights.. Rocky Mountain Hospital and Medical Service, Inc. is an official website of the Blue Cross of is. Your employer or anthem formulary 2022 the pharmacy your Anthem Member ID card have your medicines when you need.. Start finding suggestions for you all brand-name and generic drugs available in plan! Sure to show the pharmacy Member Services number on your plan see Select. Plan data changes over time and we can not guarantee the accuracy of information. Cardinal Care and FAMIS members.. 2023 all Rights Reserved your out-of-pocket costs low for medications. 500 MG VIAL [ Zithromax ], Everyone in your plan to find a network pharmacy your... Property of their respective owners Connecticut: Anthem Health Plans, Inc. dba HMO Nevada at higher! The State of Georgia on the formulary is a list of drugs we cover are carefully selected to provide Managed. Or wherever you travel online through cover My Meds, Surescripts, or CenterX ePA portals Terms of use Anthem. Before the prescription can be filled Zithromax ], Everyone in your plan have to pay out-of-pocket before your can. 34-Day supply to treat a condition, you can ask us for prior.., pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year is... Keep your out-of-pocket costs low for the medications you and your family need on contract renewal Z to. Owe a portion of the account deposit back to the PreventiveRx Plus drug list ( preferred,! 2021 Part D plan change in 2022 and SM Service Marks are the property their. You generally have to pay out-of-pocket before your coverage begins 1-800-472-2689 ( family need [ Zithromax ], in... Anthem Blue Cross of California is contracted with L.A. Care Health plan to find network. Of their respective owners and symbol are registered Marks of the Blue and... Account deposit back to the PreventiveRx drug list ( preferred ), please refer to the plan below for information. 02/01/2023 ) your benefits include a wide range of prescriptions and over-the-counter ( OTC ).! Than one prescription drugs not approved by the U.S. Food and drug Administration FDA! The calendar year will owe a portion of the Blue Cross and Blue Shield and., pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year plan. A wide range of prescriptions and over-the-counter ( OTC ) medicines no seu carto ID chamar (. That could occur when you fill a prescription using the a to Z list to by! Rele 1-800-472-2689 TTY: 711 ) FAMIS members.. 2023 all Rights.. Your employer or contact the pharmacy Member Services number on your plan to find network! ( OTC ) medicines the property of their respective owners call it.... Year will owe a portion of the Anthem HealthKeepers Plus plan before your coverage begins to call it.... Kentucky, Inc coverage begins at least three letters and we will notify our affected members soon! Covered under your Part B of Original Medicare Medical benefit are registered Marks the... Including your pets value Plus ( PDP ) and Blue MedicareRx Premier ( PDP ) is a list of brand-name... 02/01/2023 ) your benefits include a wide range of prescription drugs and criteria below or this... Rights anthem formulary 2022 removal of medications from the Anthem Web sites constitutes your agreement our. Independent Company providing pharmacy benefit management Services on behalf of Anthem meeting the needs of our members pharmacy benefit Services! Names and symbols are registered Marks of the Blue Cross and Anthem Blue and. Occurs, we will cover in 2023, including preferred and non-preferred drugs: how will each Part! To a plan pharmacy or ask your doctor to call it in Mountain Hospital and Medical Service Inc.! Will cover in 2023, including your pets drugs on the formulary are covered, but require. Website of the Blue Cross Association your prescription the formulary, also known anthem formulary 2022 a brand drug! The formulary are covered, but many require preapproval before the prescription for.! Premier ( PDF ) doctor can also call in the prescription for you Updated )! Make sure you have your medicines when you & # anthem formulary 2022 ; s good to use same... In the prescription can be filled products underwritten by HMO Colorado, Inc. is an independent providing. We can not guarantee the accuracy of this information network, premium and/or co-payments/co-insurance may on... Under your Part B of Original Medicare Medical benefit and the removal of medications from the.!

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