Blue Cross and BCN Preferred Drug List - September 2020 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 Our prescription drug search is now powered by Prime Therapeutics, a fully accredited pharmacy benefit manager. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia linguistica, Llame al 1-833-735-4515 (TTY 711) 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY 711) © 2020 BlueCross BlueShield of Western New York is a division of HealthNow New York Inc., an independent licensee of the Blue Cross and Blue Shield Association.
Find out how you may be able to obtain your prescriptions at the correct Low Income Subsidy (LIS) cost sharing level if you can show evidence of your LIS eligibility.If BlueCross BlueShield denied your request for coverage of (or payment for) a prescription drug, you have the right to ask us for a redetermination (appeal) of our decision. 2020 Formulary Changes that will not affect you if you are currently taking the drug. Blue Cross Community MMAI 2020 LIST OF COVERED DRUGS i If you have questions, please call Blue Cross Community MMAI at 1-877-723-7702 (TTY 711).
2020 Medicare Advantage Formulary Updated September 1, 2020 • Formulary exception requests are reviewed within 72hours from the time that the complete request has been received via fax or over the phone. While you talk to your doctor to determine the right course of action for you, we may cover your drug in certain cases during the first 90 days you are a member of our plan.For each of your drugs that is not on our formulary or if your ability to get your drugs is limited, we will cover a temporary 30 day supply (unless you have a prescription written for fewer days) when you go to a network pharmacy. Here are two instances when we would cover prescriptions filled at an out-of-network pharmacy:In situations like these, please check first with Pharmacy Services to see if there is a network pharmacy nearby. You may be required to pay the difference between what you pay for the drug at the out-of-network pharmacy and the cost that we would cover at an in-network pharmacy.Quantity Limit amounts and days for prescriptions for Medicare Members.Instructions for when we require you to try certain drugs to treat a medical condition before we will cover another drug for that condition.Services or programs that optimize therapeutic outcomes for individuals through improved medication use. The ID card also identifies the type of formulary, or drug list, with an Rx and a letter on the bottom-right of the It includes generic, brand name, and specialty drugs as well as Preferred drugs that, when selected, will lower your out-of-pocket costs. EPIC can help lower Medicare Part D drug costs by helping pay for drugs in the coverage gap, as well as providing assistance with Part D premiums, if eligible.Review this information if you believe you may qualify for 'extra help' with your Medicare Prescription Drug Plan costs, but your plan's system and CMS's systems do not reflect your eligibility for this help. Please contact customer service for additional information.You might qualify to get help in paying for your drugs. Our call center is Box 64812, St. Paul, MN 55164-0812, Phone 800.858.0723. BCBSNC Member Drug Search. A drug list* is a list of prescription drugs your health plan covers. The new Find a Drug search includes: Average prescription drug cost information For example, you may need a prior authorization from us before you can fill your prescription. Log In. Generally, if you are taking a drug on our 020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. Generally, if you are taking a drug on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2020 coverage year except as described above. 2020 Standard Option Formulary 2020 Basic Option Formulary Questions may be directed to Prime Therapeutics LLC, P.O. Generally, if you are taking a drug on our 2020 formulary that was covered at the beginning of the year, we will not discontinue or reduce