Commercial Small Group and Large Group Plans (Non-Metal Plans) – Formulary Changes Health Insurance Exchange Metal Level Plan Formularies Information about prescription drug plans and a list of medications available to members on our individual and family plans or on a small employer group (1-50 employees) plans. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada.

Formularies include both brand name and generic medications that are commonly prescribed. Independent licensees of the Blue Cross and Blue Shield Association. Effective 7/1/2020 4 Formulary Change Summary List The Medicaid Health Plan Common Formulary will be reviewed on a quarterly basis. In Ohio: Community Insurance Company.
Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc.

On May 1, 2020, PH sent a communication about July 1 changes to our commercial formularies (Traditional and Optimized). In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Anthem is a registered trademark of Anthem Insurance Companies, Inc. )List of drugs approved by the Centers for Medicare and Medicaid Services (CMS) — that are covered by Presbyterian’s Medicare Advantage prescription drug plans. Your 2020 Formulary SignatureValue 3-Tier This formulary is accurate as of Jan. 1, 2020 and is subject to change after this date. (Applies to both on and off exchange plans.

In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. During these reviews new medications that are FDA-approved will be evaluated after they have been available in the marketplace for at least six months. i Note to existing members: This formulary has changed since last year.Please review this document to make sure that it still contains the drugs you take.
In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Anthem to update formulary lists for commercial health plan pharmacy benefit Sep 1, 2020 • Products & Programs / Pharmacy Effective with dates of service on and after October 1, 2020, and in accordance with the IngenioRx Pharmacy and Therapeutics (P&T) process, Anthem Blue Cross and Blue Shield (Anthem) will update its drug lists that support commercial health plans. As certain brand and generic drugs will no longer be covered, providers are encouraged to determine if a covered alternative drug is appropriate for their patients whose current medication will no longer be covered. Home > Johns Hopkins HealthCare LLC > Providers & Physicians > Our Plans > Employer Health Programs > Pharmacy & Formulary Prescription drug coverage varies among Employer Health Programs (EHP) employer groups. The Priority Partners Formulary is a guide for health care providers and plan members. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Anthem. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Communications to providers and their patients affected by the changes went out in early August.Please note, this update does not apply to the Select Drug List and does not impact Medicaid and Medicare plans.To 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. In Indiana: Anthem Insurance Companies, Inc. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Maine: Anthem Health Plans of Maine, Inc.