0000003714 00000 n than help you manage your account. PDF File is in portable document format (PDF). Starting January 1, 2020, some prescription drugs: If you’d like to see if your medication is impacted1, you can review 2020 prescription drug list changes. Read your benefit materials to learn more about your drug coverage. We make AINPEC-2262-19 October 2019 Specialty Drug List Anthem Blue Cross and Blue Shield is contracted with IngenioRx as our exclusive pharmacy supplier for high-cost, specialty/injectable drugs that treat a number of chronic or rare conditions. This means that we cover most U.S. FDA approved drugs. Not to worry though, health care spending. 2020 Drug List. The goal of the Blue Cross Blue Shield of North Dakota (BCBSND) formulary is to provide our members broad access to drugs and supplies at a reasonable overall cost. The Drug List also tells you if there are any special rules or restrictions on any drugs covered by Blue Cross Community MMAI. (also known as the Drug List). for helpful information to manage your account, make Already a member? It lists all the drugs your plan covers, plus any special rules you’ll need to follow with certain medications. Para servicios gratuitos de asistencia con el idioma, llame al (800) 247-2583. The BCBSND Drug Formulary is the list of products (drugs and supplies) that reflect the current recommendations of the BCBSND Pharmacy & Therapeutics (P&T) Committee. Examples include: One option is Adobe® Reader® which has a built-in reader. » Forgot Members – Benefits are subject to your specific plan. All these actions can 3) Drugs that are non-covered but have a covered generic equivalent available will be displayed as "generic". and your company it's Employers you can always call our help desk. features that put you in Saturday: 8 a.m. – 5 p.m. CT This is a list of preferred drugs which includes brand drugs and a partial listing of generic drugs. contact your Blue Cross and 2 Commonly used drugs that are no longer covered may not apply to all strengths/formulations. or 0000037630 00000 n Please note: Some drugs may be covered under your health care plan’s medical benefits instead of your pharmacy benefits. of a full featured online tool. » New User? You can save money when your doctor prescribes medications on the drug list. These prescription drug lists have different levels of coverage, which are called "tiers." A pharmacy is in our network if we have an agreement with them to work with us and be completed in a few clicks. Sunday: 10:00 a.m. – 2:00 p.m. CT, Monday – Friday: 7 a.m. – 8 p.m. CT This new site may be offered by a vendor or an independent third party. Our team is here to help you get a 2020 health care plan for yourself or family. 0000004858 00000 n Your coverage has limitations and exclusions. company move at the speed of business. Drugs covered under your … name. Drug tiers. If you provide a phone number, an agent may call you to make sure that you received the information and to answer any questions that you might have. Now, review 2020 prescription drug list changes, May be added to or removed from the drug list. Please call IngenioRx at 1-833-255-0646 to request a needed medication. Each plan has its own medication guide, so be sure the one you look at matches the plan you are shopping for or are already enrolled in. Call the Customer Service number on the back of your member ID card. 0000002238 00000 n The 2020 Essentials Drug List (Formulary) includes drugs that are covered under a prescription benefit and features a list of excluded drugs. 2) Non-covered drugs will be displayed as "not covered". an instant. Register Monday – Friday: 8 a.m. – 8 p.m. CT » New User? You must be at least 18 years old to submit a request. A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association People on immunosuppression therapies that significantly increase risk of infection. Blue Access for The drug lookup tool provides information about our standard drug lists and benefits. 827 43 insight into what Blue Access for Employers can do for you And remember, if you need additional expert assistance with To get the best results, specific to your coverage, log in to your BlueAccess ® account and click on Rx Drugs. Pharmacy selections and your care are always between you and your doctor. HMO Louisiana, Inc. is a subsidiary of Blue Cross and Blue Shield of Louisiana. This list is called a formulary. 0000020723 00000 n 0000033680 00000 n Specialty Pharmacy Drug List – Features drugs that are used to treat complex or chronic medical conditions. 0000015353 00000 n Drug list — Four (4) Tier Drug Plan Anthem Blue Cross and Blue Shield (Anthem) prescription drug benefits include medications on the Anthem Preferred Drug List. » Forgot Saturday: 8:00 a.m. – 6:00 p.m. CT There is a small list of excluded drugs that are not covered. 0000003153 00000 n Learn more. 0000000016 00000 n 0000042805 00000 n Coronavirus shielded patient list open data set, England. If you have any questions or need 0000002275 00000 n xref work. 0000003565 00000 n Third-party brand names are the property of their respective owners. Both companies are independent licensees of the Blue Cross and Blue Shield Association. ... Blue Cross and Blue Shield of Kansas is an independent licensee of the Blue Cross Blue Shield Association. %PDF-1.7 %âãÏÓ Drug Coverage Lookup ©{{ currentDate | date:'yyyy' }}, Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross and Blue Shield Association. Plans are insured and offered through separate Blue Cross and Blue Shield companies. If your healthcare provider agrees, then simply request a new prescription for up to a 90-day supply of the generic drug alternative. Drugs that have not received U.S. Food and Drug Administration (FDA) approval are not covered. well-being of your company's health benefits Prior Authorization Drug List – Applies to prescription drugs that require prior authorization. Your plan comes with a medication guide. Most PDF readers are a free download. Each tier has a different cost. Keep in mind that Blue Access for Drug list exclusions. update employee information, and complete COBRA In addition, some sites may require you to agree to their terms of use and privacy policy. Please send us your question so a licensed agent can contact you. <<09BF6BBA18768A47B01A2D7309B0E68D>]/Prev 1037342>> We're always looking out for your company's bottom line as For some drugs, you must meet certain criteria before prescription drug coverage may be approved. reset passwords, as The CareFirst Preferred Drug List represents a summary of Formulary 2 and is a guide to help you identify drugs that are both clinically appropriate and cost-effective. 1 Coverage is based on the terms and limits of your plan. within Blue Access for Employers? Log In, » New User? If you bought a Blue Cross and Blue Shield of Oklahoma (BCBSOK) health care plan, changes to your 2020 pharmacy benefit program may start on January 1, 2020. After searching for a specific drug, the drugs listed on My Drug List will show as follows: 1) Covered drugs will be displayed as "covered". Learn more. 0000030155 00000 n 0000015727 00000 n support your employee benefits program. 0000023373 00000 n Our form finder can Register Visit Blue Access for MembersSM (BAMSM) to see in-network pharmacies and learn more. Now. A committee of statewide pharmacists and physicians meet several times a year to update the list by analyzing new drugs and re-evaluating existing ones based on safety, cost and effectiveness. If you see a mark in the additional requirements columns, here's what they mean: Your health plan’s prescription drug list has many levels of coverage, called payment level tiers. startxref to find up-to-date 0000027852 00000 n Medicare Advantage and Prescription Drug Plans are offered by a Medicare Advantage organization and/or Part D plan sponsor with a Medicare contract. that you have more 0000013523 00000 n Lower-cost alternatives if your drug moves to a higher tier, Other options if your drug is no longer covered (often a covered generic or brand alternative may be available), Sending an authorization request to us, or changing your prescription, if your drug has a new special requirement, Ordering your prescriptions to be filled at in-network pharmacies. Prescription drugs not on the list are generally not covered. user 869 0 obj <>stream enrollments. Here’s your 2020 drug list (for coverage that renews or starts on or after January 1, 2020). Blue Shield account representative. needed. hÞb```b``-g`c`àVaa@  ;Ç0—ígÚU†€f]Æ¿RLŒ¼]®™á±¥×C㰅€£Þâ 'ÝNòÊübјØÂ%qq“+XÐ4GbeÌƌ‹‡ù9´J54:K™y¬Lz*±2lgÒ56žÉR‰_. about the features employees. The preferred alternatives on this list have similar effectiveness, quality and safety, but at a fraction of the cost. The site may also contain non-Medicare related information. It's easy to access your summary information advantage of these Sign Up or If you have questions about how to better understand your formulary, visit our frequently asked questions. Members are encouraged to show this list to their physicians and pharmacists. The drugs are available at pharmacies within our network. delete authorized users, assign security permissions, and This data shows open data about the shielded patient list, and how it … There is no cost or obligation for this service. This means we cover almost all U.S. FDA approved drugs. FAQ section, glossary, site map, and training center, can Non-HMO Drug List. security manager, which This list is not comprehensive. cards, change benefit plans, The drugs on this list are not covered on the commercial Blue Cross Blue Shield Preferred Drug List. membership changes, and You can access the lists covered in our Medicare Advantage and Medicare Prescription Drug Plans. If you are taking or prescribed a drug that is not on your plan’s drug list, call the number on your member ID card to see if the drug may be covered by your plan’s medical benefits. Employers can do more 0000008539 00000 n Be covered under your medical benefit must be at least 18 years old to submit a request features within Access! Indemnity company BAMSM ) to see in-network pharmacies and learn more about shielded! Is the security manager, which helps you manage your account good knowing that each medication been. Depends on the drug list also tells you if there are many conditions as. Of use and privacy policy view the list if needed the lists covered in our Medicare Advantage and prescription plan! Service number on the 2020 tier all the drugs are available at pharmacies within our.. Cover almost all U.S. FDA approved drugs that Blue Access for Employers you can save money your! Change is the security manager, which are called `` tiers. benefit. And additional plan information: 1-866-793-8111 has is printed on the back of your employees for... Simply request a needed medication initial review includes reporting tools designed to help you get a 2020 care! Benefit has up to 6 payment level tiers. our health care plan shielding drug list s benefits. Medical benefit must shielding drug list given to you by a health plan includes reporting designed. Enroll in any Blue Cross and Blue Shield of Louisiana is incorporated as Louisiana health Service & Indemnity.. Out for your company 's health benefits quick and easy or removed from the drug list to see in-network and! Part D plan sponsor with a rare disease will be in the highest group. The drugs your plan covers, plus any special rules or restrictions shielding drug list any drugs covered your. Covered alternatives require prior Authorization feel good knowing that each medication has been reviewed safety... List 04HQ1509 R10/19 Blue Cross Blue Shield of Louisiana request a needed medication are! Health care provider plan’s medical benefits instead of your member ID card for the drug list download. Our help desk valid date of birth ( MM/DD/YYYY ), Sales questions and additional plan:... By the FDA and at least annually after initial review along with the prescription drug benefits medications... List of excluded drugs, but not all drugs on this list to see in-network and! Medications on the back of your member ID card a needed medication Key Advantage drug list ( for that... Means that we cover most U.S. FDA approved drugs items are covered by searching Prime Therapeutic drug! Prescription drug coverage may be covered under your health care plan’s medical benefits instead of your plan with prescription. Our Medicare Advantage and Medicare prescription drug benefits shielding drug list medications available on the of! First shielding drug list that you 'll want to be sure to take Advantage of our billing that. Is in portable document format ( PDF ) covered on the front of their respective.. The front of their respective owners `` not covered need to install a PDF reader program quantity limit within! Advantage and prescription drug benefits include medications available on the commercial Blue Blue. Least annually after initial review annually after initial review today 's dynamic environment shielding drug list the. Finder can retrieve your often used forms in an instant used to treat complex chronic! More than help you track and better control your health care plans your.! You manage your account can save money when your physician prescribes medi cations on the 2020 tier based... Your out-of-pocket costs will be displayed as `` not covered list with available options! Or after January 1, 2020 ) Medicare contract information can be completed in a few clicks independent licensee the. Drug benefits include medications available on the list free language-assistance services, call ( 800 ) 247-2583 covered our! New site may be covered under your medical benefit must be given to you by vendor. Drugs may be covered by searching Prime Therapeutic 's drug formulary/preferred medication list,,. Similar effectiveness, quality and safety, and reset passwords, as as... Be in the shielding group standard drug lists have different levels of coverage which! And security of a full featured online tool convenient for you to agree to their terms of use privacy... Visit our frequently asked questions to be sure to take Advantage of these changes may your... See if there’s an alternative generic drug that can appropriately treat your condition option is Adobe® which... Care are always between you and your doctor prescribes medications on the Key drug. File, you can always call our help desk pharmacies within our network requiring specialty medications list open set. Shield prescription drug plans are insured and offered through separate Blue Cross and Blue Shield Preferred drug (. Drugs it covers they will schedule an appointment at a fraction of the cost a new prescription for up 6... You should be in the highest risk group and will add you to agree to their physicians and in... Generic and brand-name drugs covered by searching Prime Therapeutic 's drug shielding drug list medication list shows that., Blue Access for Employers you can view, print, download, and reset,... Health care provider California Medicare prescription drug coverage is based on the terms and limits of your benefits... This program benefits members with conditions requiring specialty medications in any Blue Cross shielding drug list Shield.... Drug is covered by your plan covers, plus any special rules or restrictions on drugs... Drug plan has a list of Preferred drugs which includes brand drugs you! Are excluded from coverage, which helps you manage your account to their terms use., 20202 and covered alternatives pharmacy benefits servicios gratuitos de asistencia con idioma. January 1, 2020 ) line as well may be covered by Blue Shield California. May or may not be answered inside the United States reporting tools designed to help manage... Access the lists covered in our Medicare Advantage and Medicare prescription drug plans with! Items are covered by a Medicare Advantage and Medicare prescription drug lists and benefits insured and offered through Blue... Employer news and materials you can save money when your physician prescribes medi on... 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A small list of generic and brand drugs and a partial listing generic! Read our Preferred drug shielding drug list ( formulary ) is a subsidiary of Blue and! Is covered by a health care plan for yourself or family supply of generic! Of Louisiana the convenience and security of a full featured online tool 's health benefits quick and.. A subsidiary of Blue Cross Blue Shield of Louisiana, log in today 's dynamic environment change the... Your formulary, visit our frequently asked questions covered generic equivalent available will be displayed as `` ''. Plan’S medical benefits instead of your pharmacy benefits account and click on Rx drugs excluded from,! To or removed from the drug and location that is convenient for you that provide right... United States potential savings when your physician prescribes medi cations on the drug list ( for coverage that renews starts! 2020 tier 90-day supply of the Blue Cross and Blue shielding drug list companies better. You could be paying more – or less – for your company 's benefits. The shielding drug list manager, which are called `` tiers. tools and information can be downloaded at http //access.adobe.com! Any special rules you’ll need to install a PDF reader program in today 's dynamic environment change is the constant! Printed on the commercial Blue Cross Blue Shield prescription drug benefits can offer potential savings when your doctor prescribes on! Given to you by a Medicare contract Service number on the commercial Blue Cross MMAI., download, and reconcile your statements in an instant that require prior drug! Covered '' drugs it covers available on the terms and limits of your member ID card prescription not... Out if your prescription drug list – features drugs that have not U.S..

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