Products & Programs PharmacyMedicaidFebruary 1, 2024

Quarterly pharmacy formulary change notice

The formulary changes listed in the table were reviewed and approved at our third quarter 2023 Pharmacy and Therapeutics Committee meeting.

Effective February 1, 2024, the changes outlined apply to all Anthem members. Please remember to read the footnotes at the end of the table.

Refer to attachment to view full drug details

Medicaid services provided by Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

NYBCBS-CD-048223-23

ATTACHMENTS: Quarterly pharmacy formulary change notice (pdf - 1.15mb)

PUBLICATIONS: February 2024 Provider Newsletter