Drug Lists: The prescription drugs your plan covers.
Benefit/Program Drug Lists.
If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here. If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.
All of the drug lists in this section include our Drug Search (Searchable) Tool functionality.
This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Anthem Blue Cross and Blue Shield’s Essential Drug List. Or contact the Customer Service number on your member ID card if you need assistance.
These lists may be for you if you get your health insurance plan from an employer, if you have certain grandfathered plans, or in some cases if your coverage is through a Small Group employer on or off the exchange. Contact the Customer Service number on your member ID card if you need assistance.
Anthem has aligned the National and Preferred Drug Lists. Please refer to the National Drug List information above.
The following states Select Drug Lists apply 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.
These lists may be for you if you get your health insurance plan from an employer, if you have certain grandfathered plans, or in some cases if your coverage is through a Small Group employer on or off the exchange. Contact the Customer Service number on your member ID card if you need assistance.
The Generic Premium Drug List is no longer actively marketed and only applies to members who have not been transitioned to an alternative drug list.
If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here. If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.
One of these lists may apply to you if your plan includes the PreventiveRx benefit (members can receive certain preventive drugs at low or no cost). Check with your employer or contact the Customer Service number on your member ID card if you need assistance.
If you have the National formulary/drug list, one of these PreventiveRx drug lists may apply to you:
Anthem has aligned the National and Preferred Drug Lists. If you have the PreventiveRx Drug List ( Preferred ), please refer to the PreventiveRx Plus Drug List (National) above.
If you have the Select formulary/drug list, this PreventiveRx drug list may apply to you:
If you have the Traditional Open formulary/drug list, this PreventiveRx drug list may apply to you:
GenericSelect Drug List.
This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.
Half Tablet Drug List.
This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.
Exclusive Specialty Drug List.
This list includes specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. However, this applies only if you have a specialty pharmacy network included in your benefit.
Medical Specialty Pharmacy Drug Lists.
These lists of specialty medications are not covered under the pharmacy benefit for certain groups.
These lists of specialty medications are not covered under the medical benefit for certain groups.
How we choose the drugs on these lists.
An independent group of practicing doctors, pharmacists and other health-care professionals meet often to look at new and existing drugs. They choose drugs for these lists based on a number of factors including how well they work, value to patients and safety. All drugs on these lists are approved by the Food and Drug Administration (FDA). View the latest updates from this committee.
More resources that may help you.
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