ANTHEM IS THE PHARMACY BENEFIT PROVIDER FOR THE ANTHEM PLANS: HMO, PPO AND CDHP/HRA.
The pharmacy plan covers:
- Brand-name and generic drugs on your drug list
- Some preventive drugs at little or no cost to you
(view our Preventive Care flier at anthem.com/pharmacyinformation)
- Most specialty drugs if you have an ongoing health issue or serious illness
WHAT DO YOU NEED TO DO?
Register at www.anthem.com It’s the fastest and easiest way to get all of your personalized pharmacy benefits information.
At www.anthem.com, you can do things like:
Find a pharmacy.
Check your drug list.
Compare drug costs. Use Price a Medication tool at www.anthem.com
Switch to home delivery or refill a prescription.
Check your claims status and history.
Check your copay, deductible or coinsurance amounts.
There’s an app for all of that, too.
Anthem Anywhere makes it easy to manage your pharmacy benefits from wherever you are. You can find it at the Apple Store® (iOS) or on
Google Play (Android).
ANTHEM DRUG LIST WITH
Your plan uses the National Drug List. It includes hundreds of generic and brand-name prescription drugs.
You can get a sneak peek of your drug list at anthem.com/national4tier to see if a drug you take is covered.
Click HERE to view the drug list.
For more details, log in at anthem.com. If your drug isn’t on the list, you’ll see other options. Keep in mind, changes can be made to your drug list. So you may want to check it when you get a new prescription.
Drugs are grouped in tiers. Your share of the cost will depend on which tier your drug is on. The lower the tier, the lower your cost.
Your plan uses the Preferred Generics program. This means when there’s a generic option available and you choose to go with the brand-name drug instead, you’ll pay more. Check with your doctor to see if there’s a generic option that’s right for you — it’ll save you money!
SPECIALTY PHARMACY
If you have a complex health condition that requires specialty drugs for your treatment — drugs that may need special handling or that you may get by injection or infusion — you’ll need to get them through Accredo, our specialty pharmacy. Home delivery pharmacy and Accredo Specialty Pharmacy are managed by Express Scripts. You may also be able to choose other in-network specialty pharmacies.
To view a list of covered specialty drugs, visit anthem.com/pharmacyinformation and select the Exclusive Specialty Drug List.
HOME DELIVERY
Express Scripts will manage mail order for Anthem