If you still cannot locate your drugs, your plan may not offer coverage. For pharmacy-related benefits questions, please call us at . When this drug list (formulary) refers to “we,” “us,” or “our,” it means Anthem HealthKeepers. In Ohio: Community Insurance Company. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), which underwrites or administers the PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwrites or administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Providers: Use these PA Forms after using the searchable formulary. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In Connecticut: Anthem Health Plans, Inc. 2020 Anthem MediBlue Extra (HMO) Formulary. If your patients cannot be converted to a formulary alternative, call our Pharmacy department at If you have any questions about this communication, call Provider Services at This includes brand-name and generic drugs, reviewed and recommended for their quality and for how well they work.

For an updated formulary… If this is not an option, you can request an exception to have the plan review its coverage decision based on your individual circumstances. Anthem is a registered trademark of Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. When it refers to “plan” or “our plan,” it means Anthem MediBlue Smart Fit (HMO). The Initial Coverage Limit (ICL) for this plan is $4020. The Anthem MediBlue Extra (HMO) plan has a $435 drug deductible. A.

Anthem’s Preferred Glucometer Program helps your patients save money and lowers pharmacy costs How does it work? The Anthem MediBlue Local (HMO) plan has a $0 drug deductible. The formulary changes listed in the table below apply to all Anthem HealthKeepers Plus members (including those enrolled in FAMIS [the CHIP program] and Medallion [the Medicaid program]) and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) members. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. Companies, Inc. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Commonwealth Coordinated Care Plus (CCC Plus) benefits to enrollees. o To help you see how the drug list works with your drug benefit, we've included some frequently asked questions (FAQ) about how the list is set up and what to do if a drug you take isn't on it. Below is the Formulary, or drug list, for Anthem MediBlue Extra (HMO) from Healthkeepers, Inc.. A formulary is a list of prescription medications that are covered under Healthkeepers, Inc.'s 2020 Medicare Advantage Plan in Virginia.


Your 2020 Formulary Effective July 1, 2020 For the most current list of covered medications or if you have questions: Call the number on your member ID card.

In Kentucky: Anthem Health Plans of Kentucky, Inc. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. The Anthem HealthKeepers Preferred Drug List, also called a formulary, has drugs on it that are approved by the U.S. Food and Drug Administration (FDA). The formulary changes listed in the table below apply to all Anthem HealthKeepers Plus members (including those enrolled in FAMIS [the CHIP program] and Medallion [the Medicaid program]) and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) members. Individual member savings varies based on their benefit. The formulary changes listed in the table below apply to all Anthem HealthKeepers Plus members (including those enrolled in FAMIS [the CHIP program] and Medallion [the Medicaid program]) and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) members.
In Maine: Anthem Health Plans of Maine, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.