anthem formulary 2022
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). View the upcoming formulary changes for You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. They will work with the pharmacy and the Anthem HealthKeepers Plus plan to review your case and replace your medicines as needed. 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. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar 1-800-472-2689 (TTY: 711 ). Star Ratings are calculated each year and may change from one year to the next. UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. 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. 1-800-472-2689(TTY: 711) . 2023 All Rights Reserved. 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. TTY 711 Its easy when you use our search tool. The joint enterprise is a Medicare-approved Part D Sponsor. Featured In: September 2020 Anthem Blue . You can log in to your account and manage your prescriptions filled through home-delivery pharmacy. Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two This list of specialty medications is not covered under the pharmacy benefit for certain groups. are preferred retail cost-sharing network pharmacies. Most prescriptions can be written with refills. This plan is closed to new membership. The drug has a high side effect potential. You can also request that There is additional information needed about your condition so we can match it to the FDA approval of the drug and/or studies of effectiveness. Work with your pharmacist so you can stick to a medicine routine. Blue Shield of Vermont. Sometimes, we must remove a drug immediately for safety reasons or due to its discontinuation by the manufacturer. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 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. PlanID lancets, test strips). For more information contact the plan. 2022 Medicare Part D Plan Formulary Information. 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. In Kentucky: Anthem Health Plans of Kentucky, Inc. That means we use a balanced approach to drug list/formulary management, based on a combination of research, clinical guidelines and member experience. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Make sure you have your medicines when you need them. We partner with CarelonRx Specialty Pharmacy and AcariaHealth to meet all your specialty medication needs. Effective with dates of service on and after October 1, 2020, and in accordance with the IngenioRx Pharmacy and Therapeutics (P&T) process, Anthem Blue Cross (Anthem) will update its drug lists that support commercial health plans. Blue MedicareRx (PDP) Value Plus (PDF) and Out of the 63,000+ pharmacies in our network, over 22,000 are preferred retail cost-sharing network pharmacies. and SM Service Marks are the property of their respective owners. MedImpact is the pharmacy benefits manager. Enrollment in Blue Cross Blue Shield of Massachusetts depends on contract renewal. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. OTC drugs aren't shown on the list. 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. ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung. All drugs on these lists are approved by the Food and Drug Administration (FDA). How to use the Anthem Blue Cross Cal MediConnect Formulary. 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. 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. If you misplace your medicine or it is stolen, contact your provider. 1-800-472-2689 (TTY : 711) . We rely on objective evaluations from independent physicians. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711 ). Certain drugs on Blue MedicareRx formularies have special coverage requirements to ensure theyre used in a safe way and to help Visit thePrior Authorization and Step Therapysection for more information. as required by Medicare. Drugs requiring the assistance of a medical professional (office-based injectables) are not covered under the pharmacy benefit. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont 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. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711 ). ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Products & Programs / Pharmacy. Your benefits include a wide range of prescriptions and over-the-counter (OTC) medicines. 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. Visit theAppeals & Grievancessection for more information. 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. Local, state, and federal government websites often end in .gov. Compare Anthem Part D Plans MediBlue Rx* Standard Part D Plan This plan is a good choice if you take fewer medications. It features low $1 copays for tier 1 prescription drugs. Drugs for cosmetic purposes or hair growth. MedImpact, in conjunction with the Commonwealth of Kentucky, manages a list of drugs providers can choose from called a Preferred Drug List (PDL). Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1 of each year. Featured In: : , , : .. 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). Call 1-800-472-2689 (TTY: 711). or union group and separately issued by one of the following plans: Anthem Blue Attention Members: You can now view plan benefit documents online. If you are a member with Anthems pharmacy coverage, click on the link below to log in and automatically connect to the drug list that applies to your pharmacy benefits. Your benefits include a wide range of prescription drugs. Some of the links on this page can only be viewed using Adobe Acrobat Reader. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Your Medicare Part D prescription benefit is a 5-tier structure. Blue MedicareRx (PDP) is accepted coast-to-coast at national pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies. In Ohio: Community Insurance Company. 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. Blue Cross and Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. Click here to see the list of medications available for a 90-day supply, and all other drugs are limited to a 34-day supply. : , , . Sep 1, 2022 Products & Programs / Pharmacy 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. Saves you time by speeding up the medicine refill process. How you know. Updates include changes to drug tiers and the removal of medications from the formulary. View a summary of changes here . The final decision for a patient's drug therapy always rests with the physician. 3. For more recent information or other questions, please contact Customer Care at 1-844-345-4577, 24 hours a day, 7 days a week. Use the Drug Pricing Tool to price the medications you are currently taking and see which Blue MedicareRx plan is best for you. In Maine: Anthem Health Plans of Maine, Inc. Contact the Pharmacy Member Services number on your ID card if you need assistance. 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. Phone: 800-977-2273 or 711 for TTY. You may also submit your request online through Cover My Meds, Surescripts, or CenterX ePA portals. The Anthem MediBlue Rx Plus (PDP) (S5596-057-0) Formulary Drugs Starting with the Letter A. in CMS PDP Region 16 which includes: WI. (Updated 02/01/2023) Anthem Blue Cross is the trade name of Blue Cross of California. If you have a complex or chronic health condition that requires special medicine, you can get the medicine you need. An official website of the State of Georgia. 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. An official website of the State of Georgia. The latest developments and submission guidelines from around the world are considered when developing and maintaining the drug list/formulary. If you use another pharmacy, you should tell the pharmacist about all medicines you are taking. : , . Change State. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. 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). This way, your pharmacist will know about problems that may happen when youre taking more than one prescription. 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 Massachusetts, Rhode Island, and Vermont. All other drugs are limited to a 34-day supply. New! var gcse = document.createElement('script'); The PDL includes all medications covered by Medicaid, including some over-the-counter drugs. You can also learn more about some of our online tools, like pricing a drug, by clicking on the link to the video. Select your search style and criteria below or use this example to get started BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. Limitations, copayments, and restrictions may apply. This list of specialty medications is not covered under the medical benefit for certain groups. Use of the Anthem websites constitutes your agreement with our Terms of Use. Bring your member ID card and prescription to a plan pharmacy. ZIP & Plan 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. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible.
