Pharmacy information available on anthem.com
For more information on copayment/coinsurance requirements and their applicable drug classes, drug lists and changes, prior authorization criteria, procedures for generic substitution, therapeutic interchange, step therapy or other management methods subject to prescribing decisions, and any other requirements, restrictions, or limitations that apply to using certain drugs, visit anthem.com/pharmacy information. The drug lists for our PAR, PPO and Anthem HealthKeepers lines of business (including marketplace drug lists) are reviewed, and updates are posted to the website quarterly (the first of the month for January, April, July and October). For pharmacy information available on the Web, go to anthem.com and select “Providers” from the top menu (or Providers under the “Partner Login” section can be used too) > Select find resources for Virginia > On the Virginia provider home page, select the “Plans & Benefits” tab and scroll down to “Pharmacy Operations.”
For State-sponsored Business [Anthem HealthKeepers Plus (Medicaid/FAMIS)], visit SSB Pharmacy Information. This drug list is also reviewed and updated regularly as needed.
Effective January 1, 2018, AllianceRX Walgreens Prime is the new specialty pharmacy program for the Blue Cross and Blue Shield Service Benefit Plan (also called the Federal Employee Program or FEP). You can view the 2018 Specialty Drug List or call us at 1-888-346-3731 for more information.
This drug list is also reviewed and updated quarterly. FEP Pharmacy updates and other pharmacy related information may be accessed at www.fepblue.org > Pharmacy Benefits.
October 2018 Anthem Provider Newsletter - Virginia