Botox update for Anthem members

Effective January 1, 2022, CVS Specialty Pharmacy* and IngenioRx Specialty Pharmacy* will no longer distribute the brand name drug Botox_®, but it will still be available to Anthem Blue Cross and Blue Shield (Anthem) members either through buy and bill or through an available retail pharmacy.

 

Please note:

• This is not a change in member benefits. This is a change in the Botox vendor only.
• If the member is not using CVS Specialty Pharmacy or IngenioRx Specialty Pharmacy to obtain Botox, no action is needed.

 

For Botox managed under a member’s medical benefit

Effective January 1, 2022, you will need to buy this drug and bill Anthem.

 

If you have questions regarding buy and bill, find the billing guide here: https://providers.anthem.com/docs/gpp/IN_CAID_BillingPMCompanionGuide.pdf?v=202106141347

 

If you have questions regarding a member’s medical specialty pharmacy benefits, call Provider Services:

• Hoosier Healthwise: 866-408-6132
• Healthy Indiana Plan: 844-533-1995
• Hoosier Care Connect: 844-284-1798

 

For Botox managed under a member’s pharmacy benefit

Effective January 1, 2022, members who currently obtain Botox through IngenioRx Specialty Pharmacy using their pharmacy benefit must change to another in-network pharmacy that distributes Botox.

 

If you have questions regarding a member’s pharmacy benefit, call Pharmacy Member Services:

• Hoosier Healthwise: 833-235-2023
• Healthy Indiana Plan: 833-205-6007
• Hoosier Care Connect: 833-235-2024

 

* CVS is an independent company providing pharmacy services on behalf of Anthem Blue Cross and Blue Shield. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of Anthem Blue Cross and Blue Shield.

 

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