... IngenioRx. Brand name drug: Uppercase in bold type . You can choose to have your prescription mailed to you or shipped to a local CVS retail pharmacy where you can pick it up. Your prescription benefit comes with a drug list, which is also called a formulary. What is changing on your card? The Preferred Drug List (PDL) is the list of drugs that your doctor will use first when prescribing you medicine. (This article was edited July 2019.) National Drug List Drug list — Four Tier Drug Plan Your prescription benefit comes with a drug list, which is also called a formulary. Legend . It drives additional rebate value while maintaining a strong clinical foundation through our Pharmacy and Therapeutics review process. All generic drugs are approved by FDA. A targeted letter will be sent to members who use home delivery that walks them through the move. It lists all the drugs found on the PDL, plus others. You’ll see. Beginning Oct. 1, 2019, IngenioRx will become the pharmacy benefit . Brand name Generic drug name 8-MOP METHOXSALEN Amerigroup Preferred Drug List - Spanish; Amerigroup Searchable Formulary. The company's acquisition enhances its offerings, providing members and sponsors with a much-simplified, collaborative pharmacy benefit experience. Please call IngenioRx at 1-833-255-0646 to request a needed medication. AL: Age Limit Restrictions . ‎With the IngenioRx mobile app, the power to manage your pharmacy care sits in the palm of your hand. IngenioRx Client Guide Transition Information & Frequently Asked Questions Anthem, Inc. recently announced the acceleration of the launch of IngenioRx, its new pharmacy benefit manager. This list is made up of brand-name and generic prescription drugs approved by the U.S. Food & Drug Administration (FDA). Anthem will continue to utilize the Select Formulary Drug List. If you are a current Anthem member with questions about your pharmacy benefits, we're here to help. These drugs are chosen for their quality and effectiveness. (Formulary List) What will members who use home delivery need to do? Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711). Although our name is new, our history isn’t. We excluded Anthem’s 2018 drug trend report from its IngenioRx PBM. Our new quarterly Drug and Biologic Pipeline Update provides an overview of emerging new therapies, including in-depth analysis of newly approved drugs and those in the pipeline, as well as updates on … For too long, pharmacy benefits have been all about prescriptions and pricing and not enough about every other healthcare decision. To find a pharmacy near you, use our pharmacy locator tool. IngenioRx Quarterly Drug and Biologic Pipeline update. Healthy Blue works with IngenioRx to provide these benefits. When it refers to “plan” or “our plan,” it means Group MedicareBlue Rx. %���� • IngenioRx is a wholly owned subsidiary of Anthem, Inc. You can call us at the pharmacy services number on the back of your ID card to speak with an IngenioRx member services representative 24/7. Drug List. Unless otherwise noted, all brand and generic formulations of a product are considered specialty. No changes. Preferred Drug List Effective November 1, 2020. endobj Since generic drug makers do not develop a drug from scratch, the costs to bring the drug to market are less. The Select Drug List, also called a formulary is a list of U.S. Food and Drug Administration (FDA)-approved brand-name and generic drugs that have been reviewed and recommended for their quality and how well they work. endobj Prescription drugs are managed through Anthem's pharmacy benefit manager, IngenioRx. Additionally, every member who fills a specialty drug will be contacted by our specialty care team, via telephone, to introduce them to IngenioRx, check in on their care, and help with the move. Preferred Drug List (PDL) The Preferred Drug List (PDL) has the medicines your plan pays for as long as you have a prescription. 3 Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan ... IngenioRx Specialty Pharmacy 1-833-255-0646 (TTY 711) HIP home delivery (IngenioRx Home Delivery) 1-833-203-1742 2019 was notable, as we successfully transitioned our clients and their millions of members to IngenioRx. 3 0 obj You can do this by going to . Over-the-counter drugs These drugs have been chosen for their quality and effectiveness. 1 0 obj Introducing a pharmacy benefits partner focused on simplifying and demystifying prescription drug coverage, building meaningful connections, and maximizing whole health. Anthem Blue Cross Blue Shield prescription drug benefits include medications available on the Key Advantage Drug List. Summit Community Care also covers many over-the-counter (OTC) medicines. We’re here to change that. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. Your medication guide should be kept with you and up to date. OTC: Upon your move to IngenioRx, your … ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. This document includes a list of the drugs (formulary) for our plan which is current as of 11/1/2020. That’s real genius. (I asked Anthem for details, but it declined to answer. Updates, if any, will be posted monthly. Let’s think bigger. Our new quarterly Drug and Biologic Pipeline Update provides an overview of emerging new therapies, including in-depth analysis of newly approved drugs and those in the pipeline, as well as updates on disease states and insights on the industry. If you need a drug that isn’t listed on our formulary, you or someone you choose to act for you can request a formulary exception. Formulary (Drug List) refers to “we,” “us” or “our,” it means Anthem Blue Cross. Healthy Blue will administer pharmacy benefits for enrolled members through IngenioRx, Inc. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of BlueChoice HealthPlan. You can choose to have your prescription mailed to you or shipped to a local CVS retail pharmacy where you can pick it up. ©2020 Anthem, Inc. All Rights Reserved. Generic drug: Lowercase in plain type . Specialty Drug List ALPHA 1 DEFICIENCY It’s time that changed. You can call us at the pharmacy services number on the back of your ID card to speak with an IngenioRx member services representative 24/7. She previously worked for Cigna’s pharmacy unit and at Medco Health Solutions, which was acquired by Express Scripts in 2012. The National Direct Drug List optimizes more rebates than our other drug lists. 1 This list does not include all maintenance drugs and is not a guarantee of benefits. 113. You can save money when your doctor prescribes medications on the drug list. On the prior authorization form, the person making the request must provide a medical rationale as to why the chosen medication is necessary for the patient in question. stream Medications not listed o n the formulary are considered to be non-formulary and are subject to prior authorization. With the launch of IngenioRx, clients with medical benefits from Anthem and its affiliated health plans can transform care and costs through the integration of their pharmacy and medical benefits. <>>> For updated . All generic drugs are approved by FDA. Preferred Drug List. List your prescription and over-the-counter medicines as well as your dietary supplements. Specialty drugs come in many forms like pills, li quids, injections (shots), infusions or inhalers and may need s pecial storage and handling. This list is made up of brand-name and generic prescription drugs approved by the U.S. Food & Drug Administration (FDA). <> Bring your member ID card and prescription to a plan pharmacy. And, you can track your order until it arrives. IngenioRx Reports Both Pharmacy and Medical Drug Trends Flat in 2018 Members with diabetes and integrated pharmacy and medical benefits through Anthem experienced significantly fewer ER … There are no copays for your prescription drug benefits. Prescription drugs are managed through Anthem's pharmacy benefit manager, IngenioRx. Brand name drug: Uppercase in bold type . This document includes a list of the covered Part D drugs for your plan which is current as of 1/1/2020. You can get prescription drugs shipped to your home through our network mail order delivery service. Generic drug: Lowercase in plain type . And, you can track your order until it arrives. But they must show that their product performs in the same way as the brand-name drug. May 2019 On July 1, 2019, IngenioRx became Anthem’s new pharmacy benefit manager. This list is made up of brand-name and generic prescription drugs approved by the U.S. Food & Drug Administration (FDA). Are drug … • Use medication from your preferred drug list • Return to the pharmacy to request claim reprocessing and for reimbursement • If problems are encountered at the pharmacy, call the Pharmacy Member Services number on your ID card Signature of Pharmacist or Representative (REQUIRED ) X NOTICE As a healthcare team, we have all the information we need to make the best healthcare choices. Pharmacy Benefit Manager Changes to IngenioRx. Both cards (old and new) will work through June 30, 2019. IngenioRx, Inc. is an independent company that provides pharmacy benefit management services on behalf of BlueChoice HealthPlan. ... IngenioRx is an independent company providing pharmacy benefit management services on behalf of BlueChoice HealthPlan. We work with IngenioRx to provide these pharmacy benefits. IngenioRx Client Guide Transition Information & Frequently Asked Questions Anthem, Inc. recently announced the acceleration of the launch of IngenioRx, its new pharmacy benefit manager. manager (PBM) for prescription drugs, home-delivery pharmacy and specialty pharmacy for Healthy Blue members. Colleen also oversees the IngenioRx Pharmacy and Therapeutics (P&T) Process. We just need to work together. A doctor can also call in the prescription for you. Both brand-name drugs and generic drugs are listed in the Index. Some of your patients will begin moving to IngenioRx in Q2 2019 3 Important update to Anthem’s commercial drug lists 4 Clinical criteria updates for specialty pharmacy 4 ... Care drug list and Clinical Site of Care pre-service clinical review FAQs for more information. x��][s�8�~OU��S6M/U[[����{cgv2���Ȋ����������n\H��C�ݚ�cIlt����� ���^/�Ng��O��_�����M������{�ߟ�{�����t�X>�]�|Y�['��������D�߾�;fcI�G�_߾aQ In each class, drugs are listed alphabetically by either brand name or generic name. Alternatively, you can call us at 833-203-1742 or fax the prescription to 800-378-0323. 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. 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). Drug list — Four Tier Drug Plan . FYI, Anthem formed IngenioRx in 2017. Specialty Drug List – Spanish; With IngenioRx Specialty Pharmacy, you get: Free shipping with confidential, on-time delivery; Order your medicine online at any time. Managing pharmacy costs is important. The formulary is a list of all the brand-name and generic drugs available in your plan. You can look up the price of a drug before you get it, find a preferred pharmacy and co… A targeted letter will be sent to members who use home delivery that walks them through the move. Specialty Drug List – Spanish; With IngenioRx Specialty Pharmacy, you get: Free shipping with confidential, on-time delivery; Order your medicine online at any time. Working together, we provide a simplified experience focused on lowering the cost of care while managing clinical outcomes. The Apple Health (Medicaid) Preferred Drug List (PDL) is a list of brand name and generic drugs available on your plan. 注意:如果您使用非英語的其他語言,您可以免費獲得語言援助服務。請致電聯絡客戶服務部(聽語障用戶請致電:711)。, managing costs through aligned incentives. You can search or print your drug list from the options below. DO: Dose Optimization Program . You can choose to have your prescription mailed to you or shipped to a local CVS retail pharmacy where you can pick it up. This list is not comprehensive. This includes over-the-counter (OTC) medicines. And, you can track your order until it arrives. That’s why we’re opening communication between pharmacy, patients and providers so the whole healthcare team can focus on the outcome, not just the treatment. Please note, this update does not apply to the Select Drug List and does not impact Medicaid and Medicare plans. Essential Drug List . Maybe next year.) Preferred Drug List Drug list — Four (4) Tier Drug Plan Anthem HealthKeepers prescription drug benefits include medications on the Anthem HealthKeepers Preferred Drug List. All drugs on the formulary are covered, but some may require preapproval before the prescription can be filled. As Chief Clinical Officer, Colleen is guiding the strategy, development and implementation of clinical and specialty pharmacy strategy and programs for IngenioRx, including quality programs, drug lists, clinical cost of care strategies and drug utilization review programs for Commercial, Medicaid and Medicare businesses. The IngenioRx name and IngenioRx logo are trademarks of Anthem, Inc. Services provided by IngenioRx, Inc. HealthPartners covers a medicine with step therapy, if you've already tried the oth er medicine(s). The Local Choice Key Advantage Drug List is a list of U.S. Food and Drug Administration (FDA)-approved brand-name and generic drugs that have been reviewed and recommended for your Plan. If we can help everyone making healthcare decisions see the bigger picture, we can start treating the whole person. A new whitepaper from HealthCore, one the country’s leading health outcomes researchers, shows that Anthem plans with integrated medical and pharmacy benefits have lower average medical costs of $30.70 PMPM over plans with carved-out pharmacy. Generics drugs are lower case, and trade/brand-name drugs are capitalized. ... View the $0 copay drug list: Zero Dollar Copay List - English; Zero Dollar Copay List - Spanish; Make fewer trips to the pharmacy. Formulary list may change during the year. Prescription Drug List by Tier . For an updated formulary, please contact us. (If you or a family member is enrolled in an Anthem Medicare PPO plan, see how you're affected.) We make it simple for you to track and manage your medications, and get the most from your pharmacy benefits. Please check your drug list for coverage. Clients, and their members, will realize savings upon transition through overall improvements to drug pricing. Look in the Index and find your drug. Since generic drug makers do not develop a drug from scratch, the costs to bring the drug to market are less. Some medications, like Insulin Needles, are listed as a category and not with a specific brand or generic name. Why do prescriptions cost so much? This list is made up of brand-name and generic prescription drugs approved by the U.S. Food & Drug Administration (FDA). ?�?Û�9�›h�/����dW����n&}��o�S!L�K�$�=� -W�Y9#\��3L���x�흭]nO�$��~�eRN���� �s ��r�^>��}�\�;��"�Y��E�����L����7�%�bl� ���q��ǻ��!T��{�0�K渎7�����Y���JXf�v�cՍF�C�B���'�� -1�C�Ƭ�����GC� X�"�׭`*+\s�d�an�'��7���"��gA&�e �X�jۀ�-�7U#ϵ������%��}��59��3;B�N�`8��Wk��f8;��l���y�b���v�*k����m��U�����ؚ�Y��~��0FH+�DŽ[�Xk�b%Ђ�ҹ�l�]�MQ�HKYR�ހ Z/�+r6M1]c�@�"���] ����G�ܢnDI�����܆�g����=�^���i����H u�䅽6�+Y��su��. Blue = Drugs that are designated specialty but not dispensed by Accredo. ... please call IngenioRx Member Services at 1-833-207-3121 (TTY 711). Call our Customer Service number, (TTY: 711). In TX, services provided by Ingenio, Inc. We thought so. Brilliant, huh? OTC: Over the counter medication available with a prescription. And your coverage has limitations and exclusions. To send IngenioRx Home Delivery Pharmacy an electronic prescription, please search for IngenioRx Home Delivery Pharmacy in your ePrescribing platform. A non-preferred drug is a drug that is not listed on the Preferred Drug List (PDL) of a given insurance provider or State. IngenioRx is now quoting with the National Direct Drug List for all new and renewing ASO (self-funded) business with 100 or more employees. If we are moving sooner, what sort of additional value should we expect? Here are a few things to remember about the list: By focusing on total health, not just prescriptions, we’re thinking bigger. Everyone in healthcare is responsible for using pharmacy the right way. Members will begin to fill home delivery prescriptions through the IngenioRx Home Delivery Pharmacy. This means all your medical and prescription benefits are now managed by Anthem Blue Cross, including specialty medications. Our prescription drug benefits can offer potential savings when your physician prescribes medi cations on the drug list. National Drug List Drug list — Four Tier Drug Plan Your prescription benefit comes with a drug list, which is also called a formulary. • Develop Formulary/Preferred Drug List and associated criteria • Build pharmacy network. Transferring prescriptions. We’re here to help. When this drug list (formulary) refers to “we ,” “us” or “our,” it means Blue Cross and Blue Shield. GR: Gender Restriction . Log in to Anthem (select Pharmacy) to access a variety of tools—from viewing the Anthem Essential Drug List and finding local in-network pharmacies, to accessing tools to price a medication, find low-cost medication options, getting forms and information about home delivery. list to find out if any drugs have been added, removed, or changed tiers. IngenioRx Reports Both Pharmacy and Medical Drug Trends Flat in 2018 Members with diabetes and integrated pharmacy and medical benefits through Anthem experienced significantly fewer ER … Members will continue to use their prescription drug benefits as they always have, getting their medications using a retail pharmacy, home delivery, or specialty pharmacy. Specialty Drug List - Spanish; With IngenioRx Specialty Pharmacy, you get: Free shipping with confidential, on-time delivery Order your medicine online at any time. Once you log in to your IngenioRx member account, you can view a summary of your pharmacy benefits including drug-specific pricing and coverage information and a list of in-network retail pharmacies. Pharmacy information and tools. Generics drugs are lower case, and trade/brand-name drugs are capitalized. They’re supposed to make us feel better, but the uncertainty around prescription costs can cause us more anxiety. If you haven't , you or your doctor will need to get approval from HealthPartners before the medicine will be covered by your lowest brand, generic or s pecialty copay or coinsurance. GR: Gender Restriction . %PDF-1.5 Our Medication Synchronization program (Med Sync) makes getting all your medicines easier — at no extra cost to you. We want members to get the right care, not just the right pill. List your prescription and over-the-counter medicines as well as your dietary supplements. Seamless is smarter. Legend . Get your specialty medications. The review is done by the National Pharmacy and Therapeutics (P&T) Process. We think that’s how our whole healthcare system can get better. The review is done by the National Pharmacy and Therapeutics (P&T) Process. Results in our 2019 Drug Trend Report highlight the value unlocked through these partnerships and those with our providers. If you have any questions about coverage of a certain product, please contact us at 1-844-396-2330. Formulary Search (Covered Drug List) Click here to search for a drug; Formulary Changes. But improving outcomes? Please check your drug list for coverage. Additionally, every member who fills a specialty drug will be contacted by our specialty care team, via telephone, to introduce them to IngenioRx, check in on their care, and help with the move. That’s powerful. Select Drug List (Searchable) | EBCBS (PDF) | EBCBS without contraceptives (PDF) | EBC (PDF) | EBC without contraceptives (PDF) ���̒4ˣ2I]?�e���v��M�ҫJ�z��ͯ��8�q9���|�޸���es���z�w�d�Z�L�9}��o����w�q1��ï������}s&����,/������K{�毶���I�P������,����xW��^.�`� You must generally use network pharmacies to use your prescription drug benefit. Your medication guide should be kept with you and up to date. We’re the pharmacy benefits manager behind Anthem, Inc., so finding new ways to help customers and their members is second nature. Please select a drug from the list below to see all coverage details regarding the medication. And, you can track your order until it arrives. Red = Drugs distributed by Accredo as part of a limited distribution network. Find a pharmacy. This includes brand-name and generic drugs, reviewed and recommended for their quality and for how well they work. By shedding more light on how drug pricing works, everyone can understand. In each class, drugs are listed alphabetically by either brand name or generic name. Some medications, like Insulin Needles, are listed as a category and not with a specific brand or generic name. Find a pharmacy. Once you log in to your IngenioRx member account, you can view a summary of your pharmacy benefits including drug-specific pricing and coverage information and a list of in-network retail pharmacies. Plus, you have access to up-to-date coverage information in your drug list, including – details about brands and generics, dosage/strength options, and information about prior authorization of your drug. Additionally, if a medication is available as a generic formulation, this will be Anthem's preferred agent, unless otherwise noted. This document includes a list of the drugs (formulary) for our plan which is current as of November 1, … But they must show that their product performs in the same way as the brand-name drug. Our preferred way to accept prescriptions for IngenioRx Specialty Pharmacy is through ePrescribing. IngenioRx is led by Deepti Jain, who joined Anthem in 2014. Anthem, Inc. recently announced that it is establishing a new pharmacy benefits manager (PBM) named IngenioRx.Starting January 1, 2020, IngenioRx will begin offering a full suite of PBM solutions to customers of Anthem’s health plans, as well as non-Anthem customers. If they have active refills, those prescriptions will be automatically transferred to IngenioRx. This list may change without notice, which may affect your benefit coverage. View a summary of changes here. Healthy Blue has a Preferred Drug List (PDL).Please refer to the PDL when prescribing for our members. Are drug lists … Essential Drug List Drug list — Four Tier Drug Plan Your prescription benefit comes with a drug list, which is also called a formulary. 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. Typing the name (at least first three letters) of the drug in the search box; Using the A-Z list to search by the first letter of your drug; Clicking on the therapeutic class of the drug; Searchable Formulary. Fill a prescription. Your doctor will use this PDL first when prescribing your medicines. You can choose to have your prescription mailed to you or shipped to a local CVS retail pharmacy where you can pick it up. It's a skimpy report with insufficient data. <> Beginning July 1st, ONLY the new card will work at your pharmacy. Your benefits include a wide range of prescription drugs. If you are not sure what category to look under, you should look for your drug in the Index that begins on page . If IngenioRx remained just an in-house PBM for Anthem, taking the total drug trend management view will be easier, But Anthem’s IngenioRx will be a stand-alone PBM, pursuing other business as well, and requiring its own separate administrative systems, making taking a total view for the Anthem book of business a little more challenging. When physicians, pharmacists and patients understand how their pharmacy options work together with their other healthcare choices, we can make better decisions. 2 0 obj Alphabetical listing . The following states 2019 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. Some medicines are on th e drug list, but you need to try one or more other medicines first. Anthem Pharmacy Transition Update Effective July 1, 2019, IngenioRx will take over the role currently held by Express Scripts.Members were sent updated enrollment cards in late March. Over-the-counter drugs are not included on this list. Are you good with that? Drug coverage information. The Index provides an alphabetical list of all of the drugs included in this document. endobj Specialty Drug List - Spanish; With IngenioRx Specialty Pharmacy, you get: Free shipping with confidential, on-time delivery Order your medicine online at any time. Green = Drugs distributed exclusively by Accredo. The following states 2019 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. AL: Age Limit Restrictions . Some medications listed may have additional requirements or limitations of coverage. Here are a few things to remember about the list: o You and your doctor can use it as a guide to choose drugs that are best for you. And that’s how we’ll change pharmacy benefits for the better. Effective November 1, 2020. This version of the 2019 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:. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> DO: Dose Optimization Program . Find your medicine Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. When it refers to “plan” or “your plan,” it means your 2020 group retiree drug plan. 4 0 obj

ingeniorx drug list

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