*The Preventive Drug List for HDHP-HSA Plans for 2024 on- and off-cycle renewals only applies to the following plans: Blue Focus Bronze POSSM002, Blue Focus Gold POSSM101, Blue Focus Silver POSSM003, Blue Focus Silver POSSM101, Blue Preferred Bronze PPOSM134, Blue Preferred Gold PPOSM101...
$0 HDHP-HSA Preventive Drug List(This applies only for Blue Preferred Gold PPOSM418, Blue Advantage Gold PPOSM119, Blue Advantage Silver PPOSM121 and Blue Preferred Silver PPOSM419 plans) Please note that some drugs may be covered under your health plan’s medical benefits instead of your ph...
2024 Prescription Drug Changes If you bought a Blue Cross and Blue Shield of Illinois health plan, changes to your 2024 pharmacy benefit program may start on January 1, 2024.1 Check if any of these changes may impact you. You can also learn how to get the most of your pharmacy benefits....
Check if any of these changes may impact you. You can also learn how to get the most of your pharmacy benefits. Be sure to come back to this page often for any changes to your drug list. Look Up Prescription Drugs Starting January 1, 2024, some prescription drugs: ...
Step 1:If possible, your doctor should prescribe a preferred drug right for your condition. Step 2:If you and your doctor decide that a preferred medication is not right for you or is not as good in treating your condition, your doctor should submit a Step Therapy exception atbcbsnm.com/...
Drug Formulary A list of preferred drugs chosen by a panel of doctors and pharmacists. Both brand and generic medications are included on the formulary.E Effective Date of Coverage The date your coverage begins or the date a change in your coverage takes effect. Emergency Medical Care Services...
Prescription Drug Payment Level Tier A prescription drug list has different levels of payment coverage, called “tiers." These tiers determine how much you will pay out of pocket for your prescription drug, based on the terms of your pharmacy benefit and whether the drug is covered on the drug...
Preferred drugs are safe and work well in treating a specific medical condition. They are also a cost-effective choice. A non-preferred drug is likely a more costly option. Step 1:If possible, your doctor should prescribe a preferred drug right for your condition. ...
After you meet your annual in-network deductible, you’ll pay for your prescription based on its tier on the drug list. When you look up your prescription drugs, seeing the drug tier lets you know if you’ll pay lower or higher out-of-pocket costs. It can also show you if your pre...
Drug Formulary A list of preferred drugs chosen by a panel of doctors and pharmacists. Both brand and generic medications are included on the formulary.E Effective Date of Coverage The date your coverage begins or the date a change in your coverage takes effect. For example, if you get marri...