WebBlue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc. will follow two types of drug coverage. 2024 Covered Drugs 2024 Open Drug Lists 2024 Covered Drugs 2024 Open Drug Lists HELPFUL LINKS Third-Party Apps Third-Party Policy HMOLA OTHER BLUE SITES Blue Advantage (HMO) Blue Advantage (PPO) Employers iLinkBlue … WebAs a Blue Cross Community Health Plans SM member, you have coverage for selected generic prescriptions, brand name prescriptions, over-the-counter (OTC) drugs, and …
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Web13 mrt. 2024 · BCBSNM, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics LLC. Mail Order Pharmacy Services Express Scripts® Pharmacy, the mail order pharmacy for members with BCBSNM prescription drug coverage, provides safe, fast and cost-effective pharmacy services … WebIf the prescription is not covered, the member will pay the full retail cost at the pharmacy. Prescribers may request a formulary exception for a non-covered drug by: Calling Pharmacy Operations at 1-800-366-7778. Submitting the Massachusetts Standard Form for Medication Prior Authorization Request (eForm) - use this eForm for commercial members. WebYour out-of-pocket cost is based on the tier your drug is in. Standard and Basic Option have five drug tiers: Tier 1 - Generic drugs Tier 2 - Preferred brand name drugs Tier 3 - Non-preferred brand name drugs Tier 4 - Preferred specialty drugs Tier 5 - Non-preferred specialty drugs FEP Blue Focus has two drug tiers: simplycity genève