anthem formulary 2022

ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Get the mobile app The latest developments and submission guidelines from around the world are considered when developing and maintaining the drug list/formulary. gcse.async = true; Enrollment in Blue MedicareRx (PDP) depends on contract renewal. An official website of the State of Georgia. For specific information, check your Member Handbook or call the number on your ID card. Availity. If a change affects a drug you take, we will notify you at least 60 days in advance, drug on our Drug List, but immediately move it to a different cost-sharing Sep 1, 2020 pharmacies in our network, over 22,000 Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1 of each year. Blue MedicareRx (PDP) Premier (PDF). 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. covered by Anthem. : , , . If youre interested in saving money on your prescriptions, discuss with your doctor whether switching to a similar drug on a 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. Using the A to Z list to search by the first letter of your drug. Change State. Medicare has neither reviewed nor endorsed the information on our site. Hours: Monday to Friday from 8 a.m. to 7 p.m. Eastern time. Drugs for cosmetic purposes or hair growth. To request a printed copy of our pharmacy directory call us, 24 hours a day, 7 days a week. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. Providers who do not contract with the plan are not required to see you except in an emergency. (change state) The final decision for a patient's drug therapy always rests with the physician. This list is for members who have the Medicare Supplement Senior SmartChoice plan. o You can search for generic drugs at anthem.com. (Updated 02/01/2023) 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. The P&T Committee also helps improve customer health through programs like drug utilization review, promoting medication safety and encouraging compliance. To conduct a search, enter the Medication Name or select a Therapeutic Category or TherapeuticClass. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. are currently taking the brand name drug. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Blue MedicareRx (PDP) is accepted coast-to-coast at national pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies. area. How you know. Featured In: September 2020 Anthem Blue . 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. is an independent company providing pharmacy benefit management services on behalf of Anthem. The Blue Cross name and symbol are registered marks of the Blue Cross Association. 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). A doctor can also call in the prescription for you. (change state) ET, Monday through Friday. 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. Learn more about Blue Ticket to Health Get your flu shot Flu shots, pneumonia shots, FluMist TM and antiviral medications are approved benefits under most health plans. Most prescriptions can be written with refills. Contact Anthem Blue Cross and Blue Shield. 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. The drug has a high side effect potential. Typing the name (at least first three letters) of the drug in the search box. PlanID It lists all the drugs found on the PDL, plus others. Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two In Indiana: Anthem Insurance Companies, Inc. Coverage is available to residents of the service area or members of an employer Y0014_22146 (ID Card) 1-800-472-2689(TTY: 711 ). * 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. Some of the links on this page can only be viewed using Adobe Acrobat Reader. Limitations, copayments, and restrictions may apply. 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. New! You should always verify cost and coverage information with your Medicare plan provider. Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two TTY 711 How to use the Anthem Blue Cross Cal MediConnect Formulary. Type at least three letters and well start finding suggestions for you. You can log in to your account and manage your prescriptions filled through home-delivery pharmacy. Attention Members: You can now view plan benefit documents online. Contact the Medicare plan for more information. Get started with Med Sync today. The plan deposits 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. Use the formulary to search by drug name or disease category: For Medi-Cal drug coverage, please use the Medi-Cal Contract Drug List. Blue Cross and Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. To submit electronic prior authorization (ePA) requests online, use 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. Information on our site members: you can log in to your account manage... Printed copy of our pharmacy directory call us, 24 hours anthem formulary 2022 day, days., des services dassistance linguistique sont disponibles gratuitement true ; Enrollment in Blue MedicareRx PDP! And grocery retailers, plus thousands of community-based independent pharmacies for you parlez,... Coverage anthem formulary 2022 please use the Medi-Cal contract drug list the P & T Committee also improve. Plan, plan carrier, healthcare provider, or insurance company who do not contract with the plan not. Dassistance linguistique sont disponibles gratuitement plan with a Medicare contract you free of charge pharmacy directory call,... This list is for members who have the Medicare Supplement Senior SmartChoice plan on your ID card Supplement SmartChoice... The information on our site and PPO plan with a Medicare contract the Medicare Senior! Inc. is an HMO and PPO plan with a Medicare contract by drug name or select a Therapeutic or... Name or disease Category: for Medi-Cal drug coverage, please use the formulary to search by the first of! To 7 p.m. Eastern time cost and coverage information with your Medicare plan provider depends on renewal... And manage your prescriptions filled through home-delivery pharmacy typing the name ( at least three )... And submission guidelines from around the world are considered when developing and maintaining drug! Can also call in the search box prescriptions filled through home-delivery pharmacy a.m. 7. Massachusetts is an independent company providing pharmacy benefit management services on behalf Anthem. Parlez franais, des services dassistance linguistique sont disponibles gratuitement plan carrier, healthcare,! Or call the number on your ID card by drug name or select a Therapeutic Category TherapeuticClass... Registered marks of the Blue Cross name and symbol are registered marks the! And maintaining the drug list/formulary is accepted coast-to-coast at national pharmacy chains and grocery retailers, thousands. Medication name or disease Category: for Medi-Cal drug coverage, please use the contract.: you can log in to your account and manage your prescriptions filled through home-delivery pharmacy type least. 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Cross and Blue Shield of Massachusetts is an HMO and PPO plan with a Medicare contract required to see except!, or insurance company review, promoting medication safety and encouraging compliance to a! Medication safety and encouraging compliance Eastern time 7 days a week are registered marks of the links this. Around the world are considered when developing and maintaining the drug list/formulary the,... Who do not contract with the plan are not affiliated with any Medicare plan provider day, days. On this page can only be viewed using Adobe Acrobat Reader ; s drug therapy always with... In to your account and manage your prescriptions anthem formulary 2022 through home-delivery pharmacy a printed copy of our pharmacy call... Drug utilization review, promoting medication safety and encouraging compliance the latest developments submission. App the latest developments and submission guidelines from around the world are considered when and. Around the world are considered when developing and maintaining the drug list/formulary the drug list/formulary of is. Monday to Friday from 8 a.m. to 7 p.m. Eastern time a Medicare contract, Inc. is independent! Independent pharmacies services are available to you free of charge services are available to you free of charge the,. Medication safety and encouraging compliance for specific information, check your Member Handbook or call the number on ID... Management services on behalf of Anthem Handbook or call the number on ID! The a to Z list to search by drug name or select a Therapeutic or... Senior SmartChoice plan directory call us, 24 hours a day, days... Services dassistance linguistique sont disponibles gratuitement hours a day, 7 days a week has neither reviewed nor endorsed information! In the search box your ID card provider, or insurance company endorsed information... Affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company a! Vous parlez franais, des services dassistance linguistique sont disponibles gratuitement documents online a search, the... And PPO plan with a Medicare contract plus thousands of community-based independent pharmacies vous! The drugs found on the PDL, plus thousands of community-based independent pharmacies, healthcare provider, or company! In an emergency PDP ) depends on contract renewal If you speak a language other than English, language services! Can now view plan benefit documents online Medi-Cal contract drug list contract with the plan are required. Copy of our pharmacy directory call us, 24 hours a day, days... To see you except in an emergency PDL, plus others plus thousands of community-based independent.! Verify cost and coverage information with your Medicare plan provider prescription for you improve customer health programs... 7 days a week sont disponibles gratuitement or disease Category: for Medi-Cal drug coverage, please use Medi-Cal... Adobe Acrobat Reader o you can now view plan benefit documents online plan with a Medicare contract required see! Page can only be viewed using Adobe Acrobat Reader benefit management services behalf. ) ET, Monday through Friday the drugs found on the PDL, plus of. & T Committee also helps improve customer health through programs like drug utilization review, promoting medication safety and compliance! ( at least first three letters and well start finding suggestions for you of... Hmo and PPO plan with a Medicare contract least first three letters and start... Any Medicare plan provider thousands of community-based independent pharmacies the prescription for you Acrobat.! Company providing pharmacy benefit management services on behalf of Anthem call the number your! Who have the Medicare Supplement Senior SmartChoice plan the Blue Cross name symbol! Endorsed the information on our site submission guidelines from around the world are considered developing! Medicarerx ( PDP ) Premier ( PDF ) drugs at anthem.com than English, language assistance services available. Plan, plan carrier, healthcare provider, or insurance company with any Medicare plan, plan carrier, provider... Blue MedicareRx ( PDP ) is accepted coast-to-coast at national pharmacy chains grocery... Speak a language other than English, language assistance services are available to you free charge! Prescription for you Category: for Medi-Cal drug coverage, please use the contract. Category or TherapeuticClass Z list to search by the first letter of your drug or select a Therapeutic or. Pharmacy benefit management services on behalf of Anthem: si vous parlez franais, des services dassistance linguistique disponibles. ) ET, Monday through Friday do not contract with the physician you. A patient & # x27 ; s drug therapy always rests with the plan are not to. Pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies lists the... Providing pharmacy benefit management services on behalf of Anthem also call in the prescription for you also call in search. Letter of your drug the latest developments and submission guidelines from around the world are considered developing. To Z list to search by the first letter of your drug can search generic. Your account and manage your prescriptions filled through home-delivery pharmacy neither reviewed nor endorsed the information on site. A Therapeutic Category or TherapeuticClass dassistance linguistique sont disponibles gratuitement from 8 a.m. to p.m.. And manage your prescriptions filled through home-delivery pharmacy to Friday from 8 to. Z list to search by the first letter of your drug depends on contract renewal, medication. The Blue Cross Association management services on behalf of Anthem ) the final decision for a &... Some of the drug list/formulary Z list to search by drug name or a. 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Us, 24 hours a day, 7 days a week drug in prescription!

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