State & FederalMedicaidDecember 1, 2018

Quarterly pharmacy formulary change

The formulary changes listed in the attached table were reviewed and approved at our first quarter 2018 Pharmacy and Therapeutics Committee meeting.

 

Effective August 1, 2018, these changes were applied to Anthem Blue Cross (Anthem) patients. 

What action do I need to take?

Please review these changes and work with your Anthem patients to transition them to formulary alternatives. If you determine preferred formulary alternatives are not clinically appropriate for specific patients, you will need to obtain prior authorization to continue coverage beyond the applicable effective date.

 

What if I need assistance?

We recognize the unique aspects of patients’ cases. If for medical reasons your Anthem patient cannot be converted to a formulary alternative, please call our Pharmacy department at 1-866-310-3666 and follow the voice prompts for pharmacy prior authorization. You can find the Preferred Drug List on our provider website at https://mediproviders.anthem.com/ca.

 

If you need assistance with any other item, contact the Customer Care Center at 1‑800‑407‑4627 (outside L.A. County) or 1‑888‑285‑7801 (inside L.A. County).