Products & Programs PharmacyCommercialJanuary 27, 2025

Key formulary updates: effective January 1, 2025

Effective with dates of service on and after January 1, 2025, and in accordance with the CarelonRx, Inc. pharmacy and therapeutics (P&T) process, we updated our drug lists that support commercial health plans. Updates include changes to drug tiers and the removal of medications from the formulary.

Please see the attachment here for more information.

CarelonRx, Inc. is an independent company providing pharmacy benefit management services on behalf of the health plan.

In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of 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. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BCBS-CM-075572-24-CPN75351

ATTACHMENTS: Key formulary updates: effective January 1, 2025_Blue Cross Blue Shield (pdf - 0.19mb)

PUBLICATIONS: February 2025 Provider Newsletter