Quarterly pharmacy formulary change notice

Summary: The formulary changes listed in the table attached were reviewed and approved at our first quarter 2018 Pharmacy and Therapeutics Committee meeting.  Effective August 1, 2018, these changes outlined now apply to all Anthem Blue Cross and Blue Shield Healthcare Solutions members.

What action do I need to take?

 

Please review these changes and work with your 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 patient cannot be converted to a formulary alternative, call our Pharmacy department at 1-844-396-2330 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/nv.

 

If you need assistance with any other item, contact your local Provider Relations representative or call Provider Services at 1-844-396-2330.

 

ANV-NU-0019-18 October 2018