: , , : .. We are an independent education, research, and technology company. lancets, test strips). You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. : -, . for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for 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. S2893_2209 Page Last Updated 10/01/2022. Cross and Blue Shield of Connecticut, Blue Cross Blue Shield of Please call 844-336-2676 or fax all retail pharmacy PA requests to 858-357-2612 beginning July 1, 2021. tier or add new restrictions. Contact the Medicare plan for more information. To request a printed copy of our pharmacy directory call us, 24 hours a day, 7 days a week. Using the A to Z list to search by the first letter of your drug. With your secure online account, you can: You can have many prescription drugs shipped directly to your home through CarelonRx Home Delivery pharmacy. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Also, displayed are some medications and supplies covered under your Part B of Original Medicare medical benefit. See individual insulin cost-sharing below. We are not compensated for Medicare plan enrollments. Saves you time by speeding up the medicine refill process. Healthcare Effectiveness Data and Information Set (HEDIS), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Reminder: Use Diagnosis Codes On All Pharmacy PA Requests. Independent licensees of the Blue Cross and Blue Shield Association. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. The Pharmacy and Therapeutics (P&T) Committee picks drugs considered to be the top choices based on their safety, effectiveness and value for our Drug List/Formulary. Compare plans What is a Medicare plan drug formulary? Blue MedicareRx (PDP) is accepted coast-to-coast at national pharmacy chains and grocery retailers, plus thousands of community-based independent pharmacies. Blue MedicareRx Value Plus (PDP) and Blue MedicareRx Premier (PDP) are two Drugs to relieve a cough or cold symptoms. (change state) Before sharing sensitive or personal information, make sure youre on an official state website. How to use the Anthem Blue Cross Cal MediConnect Formulary. It features low $1 copays for tier 1 prescription drugs. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. You must continue to pay your Medicare Part B premium. Blue Cross and Blue Shield of Massachusetts is an HMO and PPO Plan with a Medicare contract. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Blue MedicareRx (PDP) Value Plus (PDF) and Change State. 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. o You can search for generic drugs at anthem.com. lower tier might work for you. The final decision for a patient's drug therapy always rests with the physician. Cross and Blue Shield of Connecticut, Blue Cross Blue Shield of Contact the plan provider for additional information. 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. 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). This process is called preapproval or prior authorization. Certain generic drugs that are available at the lowest copayment for our members, Higher cost generic drugs available at a higher copayment than Tier 1 generic drugs, Common brand-name and some higher cost generic drugs, High cost generic and non-preferred drugs, many of which may have lower cost options available on Tier 1, 2 or 3, Unique and/or very high-cost brand and some generic drugs of which you pay a percentage of the drug cost; some may require special handling and/or close monitoring, Prior authorization you will need to obtain approval before you fill your prescription, Quantity limit There is a limit to the amount of the drug the plan will cover with each prescription filled, Step therapy You may be required to try an alternative drug before this drug is covered, Limited access This prescription may be available only at certain pharmacies. Limitations, copayments, and restrictions may apply. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Blue Shield of Vermont. Individual 2022 Select Drug List (Searchable) | 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. The formulary is a list of our covered prescription drugs, including generic, brand name and specialty drugs. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. lower cost sharing tier and with the same or fewer restrictions. If you have the PreventiveRx Drug List (Preferred), please refer to the PreventiveRx Plus Drug List (National) above. Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you havent paid your deductible (if applicable.) Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., or union group and separately issued by one of the following plans: Anthem Blue There may be some physician administered medical injectable drugs that require approval from Anthem before a prescription can be filled. MedImpact, in conjunction with the Commonwealth of Kentucky, manages a list of drugs providers can choose from called a Preferred Drug List (PDL). MedicareRx (PDP) plans. Through Anthem, SHBPoffers eligible members, including pre-65 Retirees a choice of three Health Reimbursement Arrangement (HRA) Plan Options: Gold HRA, Silver HRA and Bronze HRA. They choose drugs for these lists based on a number of factors including how well they work, value to patients and safety. There is no pharmacy copay for Cardinal Care and FAMIS members.. Please note, this update does not apply to the Select Drug List and does not affect Medicaid and Medicare plans. The changes apply for only new prescriptions; members with existing prescriptions for these medications will not be impacted. Overall, your costs for a 90-day supply of prescriptions ordered through our mail order service will be lower than what you will pay for a 90-day supply at a network retail pharmacy. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Phone: 800-977-2273 or 711 for TTY. (change state) The formulary, also known as a drug list, for each Blue MedicareRx plan includes most eligible generic and brand-name drugs. 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. Enrollment in Blue Cross Blue Shield of Massachusetts depends on contract renewal. Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1 of each year. MedImpact is the pharmacy benefits manager. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. Medallion Medicaid/FAMIS: 1-800-901-0020 Medicare evaluates plans based on a 5-Star rating system. Customer Support For more information contact the plan. 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. This list is for members who have the Medicare Supplement Senior SmartChoice plan. Visit theAppeals & Grievancessection for more information. Availity. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. If prior authorization is required, providers must get approval from MedImpact before a prescription can be filled. We have two drug lists that show which drugs are in your plan. : , . 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. (function() { To get Nevada Medicaid benefits through Anthem, you must have limited income and live in one of our service areas. Anthem Blue Cross is the trade name of Blue Cross of California. 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. S2893_2209 Page Last Updated 10/15/2022. Select your search style and criteria below or use this example to get started Enrollment in Blue MedicareRx (PDP) depends on contract renewal. for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue var gcse = document.createElement('script'); Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont Get started with Med Sync today. To find a pharmacy near you, use our pharmacy locator tool. Medicare MSA Plans do not cover prescription drugs. This list of specialty medications is not covered under the pharmacy benefit for certain groups. The formulary, also known as a drug list, for each Blue MedicareRx plan includes most eligible generic and brand-name drugs. If you need your medicine right away, you may be able to get a 72-hour supply while you wait. It's good to use the same pharmacy every time you fill a prescription. We look forward to working with you to provide quality services to our members. 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. 500 MG VIAL [Zithromax], Everyone in your household can use the same card, including your pets. Have more questions about Med Sync? 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. 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. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. ID 1-800-472-2689TTY: 711 . Y0014_22146 ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. An official website of the State of Georgia. There are other drugs that should be tried first. Attention Members: You can now view plan benefit documents online. 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). How you know. View the upcoming formulary changes for We partner with CarelonRx Specialty Pharmacy and AcariaHealth to meet all your specialty medication needs. If you have the Traditional Open formulary/drug list, this PreventiveRx drug list may apply to you: For PreventiveRx Plus and if you have the Select formulary/drug list, this PreventiveRx Plus drug list may apply to you: For Legacy PreventiveRx Plus 2016 and if you have the Select formulary/drug list, this PreventiveRx Plus drug list may apply to you: This list includes the specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. Call to speak with a licensed insurance agent and find plans in your area. ET, seven days a week. Enrollment in Blue MedicareRx (PDP) depends on contract renewal. Massachusetts, Blue Cross & Blue Shield of Rhode Island, and Blue Cross and gcse.async = true; Blue MedicareRx (PDP) is a Prescription Drug Plan with a Medicare contract. 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. Products & Programs / Pharmacy. Additionally, Anthem offers a statewide Health Maintenance Organization Plan Option for eligible members and pre-65 Retirees, as well as Medicare Advantage Premium and Standard Plan Options to Medicare-eligible members. Generic drugs have the same active ingredient formula as a brand name drug. Formularies 2023 FEP Blue Focus Formulary View List 2023 Basic Option Formulary View List 2023 Standard Option Formulary View List Drug tiers Use this form to set up home delivery for your prescriptions. 598-0820-PN-NE. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Dietary supplements, except for treatment of phenylketonuria (PKU). Check with your employer or contact the Pharmacy Member Services number on your ID card if you need assistance. Search by: State & Plan Important Information About Vaccines and Insulin are currently taking the brand name drug. Drugs for treatment of sexual or erectile dysfunction (ED). 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. 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) . pharmacies in our network, over 22,000 It is for a higher supply of medicine than our standard 34-day supply. (Updated 02/01/2023) Your benefits include a wide range of prescriptions and over-the-counter (OTC) medicines. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Featured In: (ID Card) 1-800-472-2689(TTY: 711 ). 2023 All Rights Reserved. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. you and/or your doctor must request a coverage determination before the plan will cover your drug. All drugs on these lists are approved by the Food and Drug Administration (FDA). An Anthem Medicare Advantage Plan that covers prescription drugs will include a formulary, which is a list of drugs that are covered by the plan. The Blue Cross name and symbol are registered marks of the Blue Cross Association , Essential Drug List 3-Tier with 1a/1b (Searchable), Essential Drug List 4-Tier with 1a/1b (Searchable), Essential Drug List 5-Tier with 1a/1b (Searchable), National Drug List 3-Tier with 1a/1b (Searchable), National Drug List 4-Tier with 1a/1b (Searchable), National Drug List 5-Tier with 1a/1b (Searchable), National Direct Drug List 3-Tier (Searchable), National Direct Drug List 3-Tier with 1a/1b (Searchable, National Direct Drug List 4-Tier (Searchable), National Direct Drug List 4-Tier with 1a/1b (Searchable), National Direct Drug List 5-Tier (Searchable), National Direct Drug List 5-Tier with 1a/1b (Searchable), National Direct Drug List 3-Tier with 1a/1b (Searchable), Traditional Open Drug List 3-tier (Searchable), Traditional Open Drug List 3-tier with 1a/1b (Searchable), Traditional Open Drug List 4-tier (Searchable), Traditional Open Drug List 4-tier with 1a/1b (Searchable), Traditional Open Drug List 5-tier (Searchable), Traditional Open Drug List 5-tier with 1a/1b (Searchable), PreventiveRx Plus Drug List (Traditional Open), Legacy PreventiveRx Plus Drug List (Traditional Open), Legacy PreventiveRx Plus Drug List (Select), Specialty drugs not covered under the pharmacy benefit, Specialty drugs not covered under the medical benefit, Home Delivery and Rx Maintenance 90 Drug List, ACA Contraceptive for Religious Affiliate Groups. Getting your prescriptions filled is easy. * 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. That way, your pharmacists will know about problems that could occur when you're . Certain drugs on Blue MedicareRx formularies have special coverage requirements to ensure theyre used in a safe way and to help In Connecticut: Anthem Health Plans, Inc. They will work with the pharmacy and the Anthem HealthKeepers Plus plan to review your case and replace your medicines as needed. We offer an outcomes-based formulary. SM, TM Registered and Service Marks and Trademarks are property of their respective owners. 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. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Sep 1, 2020 The Blue Cross name and symbol are registered marks of the Blue Cross Association. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. CCC Plus: 1-855-323-4687 To submit electronic prior authorization (ePA) requests online, use Anthem is a registered trademark of Anthem Insurance Companies, Inc. . Products & Programs / Pharmacy. gcse.src = (document.location.protocol == 'https:' ? o If a drug you're taking isn't covered, your doctor can ask us to review the coverage. If you like the convenience of having your prescription drugs delivered, you may utilize the CVS Caremark Mail-order pharmacy. If you dont have Adobe Acrobat Reader, you can download a free copy by clicking HERE. However, the Medicare Part D plan data changes over time and we cannot guarantee the accuracy of this information. Work with your pharmacist so you can stick to a medicine routine. Pharmacy services billed as a medical (professional) or institutional claim (or their electronic equivalents) are not in scope. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. Generally, a drug on a lower tier will cost less than a drug on a higher tier. You may also submit your request online through Cover My Meds, Surescripts, or CenterX ePA portals. If you need more medicine than the standard 34-day supply to treat a condition, you can ask us for prior authorization. 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. Clicking on the therapeutic class of the drug. We make every attempt to keep our information up-to-date with plan/premium changes. 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. 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. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. You can log in to your account and manage your prescriptions filled through home-delivery pharmacy.