Yellow Place: Blue Cross Blue Shield Approved Medications

Tuesday, July 30, 2019

Blue Cross Blue Shield Approved Medications

On February 19 2021 and March 4 2021 the Pharmacy and Therapeutics PT Committee approved the following Clinical Criteria applicable to the medical drug benefit for Healthy Blue Medicare. In selecting medications for the formulary the Blue Shield of Pharmacy and Therapeutics PT Committee considers safety efficacy FDA bioequivalency data and then cost.

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For the most recent list of excluded drugs read our Preferred Drug List Exclusions PDF.

Blue cross blue shield approved medications. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. Blue Cross and BCN Preferred Drug List - April 2021 Table of contents Blue Cross and BCN Preferred Drug List Formulary 6 How to read the Blue Cross and BCN Preferred Drug List 13 Anti-infectives 1A Antifungals 15 1B Antimalarials 15 1C Antiparasitics and antihelmintics 15 1D Antiretrovirals 16 1E Antituberculars 17 1F Antivirals 17 1G Cephalosporins 17. For information about faxing prior authorization requests call the Pharmacy Clinical Help Desk at 1-800.

With FEP Blue Focus you will generally pay the lowest cost share for any Tier 1 generic drug. The limits are 3 tablets per day for 5mg and 10mg strengths and 40mg soluble tablet or 30 mLs of the 5mg5ml solution or 15mLs of the 10mg5ml solution or 3 mL of the 10 mgmL concentrated solution per day. These prescription drug lists have different levels of coverage which are called tiers.

The Blue Cross Blue Shield Association is an association of 35 independent locally operated Blue Cross andor Blue Shield companies. You will be going to a new website operated on behalf of the Blue Cross and Blue Shield Service. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas BCBSTX this information can help you and your doctor get the most from your prescription drug coverage.

Taking Action to Address Racial Health Disparities Learn how Blue Cross and Blue Shield companies are addressing our nations crisis in racial health disparities at our new Health Equity website. It lists all the drugs your plan covers plus any special rules youll need to follow with certain medications. For more information about Medicare including a complete listing of plans available in your service area please contact the Medicare program at 1-800-MEDICARE TTY users should call 1-877-486-2048 or visit wwwmedicaregov.

If you are a BCBSTX member log in to Blue Access for Members SM BAM SM to check your drug list and learn more about your prescription drug benefits. Fentanyl transdermal patch 72 hour 100 mcghr 12 mcghr 25 mcghr 50 mcghr 75 mcghr. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list.

The drugs on this list are not covered on the commercial Blue Cross Blue Shield Preferred Drug List. If your drug is in Tiers 2 3 or 5 look to see if there is a generic or Preferred drug option available and discuss these options with your doctor. Reviewed annually by PT including all new drugs approved by the FDA.

7 day initial supply limit applies. An HMO affiliate of Blue Cross and Blue Shield of Florida Inc. Medications are categorized by tier based on their quality.

Revision date 11302016 2016 Wellmark Inc. A drug list is a list of drugs available to Blue Cross and Blue Shield of Illinois BCBSIL members. Links are included below to the Medicare approved Formularies and the most recent updates to the printed version of the Medication Guide for Medicare Eligibles.

Blue Cross and Blue Shield of Illinois does not exclude people or treat them differently because of race color national origin age disability or sex. These prescription drug lists have different levels of coverage which are called tiers. Please note this communication applies to Healthy Blue MedicareSM HMO D-SNP offered by Blue Cross and Blue Shield of North Carolina Blue Cross NC.

The preferred alternatives on this list have similar effectiveness quality and safety but at a fraction of the cost. Blue Cross Blue Shield of Arizonas Prescription Medication Formulary for EverydayHealth TrueHealth and AdvanceHealth Effective 1120 Your prescription medications fall into one of six categories or tiers Each tier has different copay or out of pocket expense. This is a summary of the features of the Blue Cross and Blue Shield Service.

Blue Cross and Blue Shield of Illinois complies with applicable Federal civil rights laws and does not discriminate on the basis of race color national origin age disability or sex. Each Blue Cross Blue Shield company is responsible for the information that it provides. The Blue Shield Drug Formulary is designed to assist physicians in prescribing medically appropriate cost-effective drug therapy.

Fentanyl citrate buccal lozenge on a handle. Fentanyl citrate pf intravenous syringe 100 mcg2 ml 50 mcgml 1. FENTANYL TRANSDERMAL PATCH 72 HOUR 375 MCGHOUR 625 MCGHOUR 875 MCGHOUR.

Wellmark Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association. If your drug is in Tier 2 Tier 3 or Tier 5 see if theres a generic or Preferred drug alternative available and discuss these options with your healthcare provider. This includes requests for CAR-T cell therapy drugs.

For FEP Blue Focus you will generally pay the lowest cost share for any Tier 1 generic drug. For Blue Cross and Blue Shield Federal Employee Program non-Medicare members you can submit requests through NovoLogix or by fax for dates of service on or after Dec. A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas BCBSTX members.

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