State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2022

Botox® update for Anthem HealthKeepers Plus members

Please note, this communication applies to Anthem HealthKeepers Plus, Medallion and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc.

 

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 HealthKeepers Plus 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 HealthKeepers, Inc.

 

If you have questions regarding a member’s medical specialty pharmacy benefits, call Anthem HealthKeepers Plus, Medallion Provider Services at 800‑901‑0020 or Anthem CCC Plus Provider Services at 855‑323‑4687.

 

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 Anthem HealthKeepers Plus, Medallion Pharmacy Member Services at 833-207-3120 or Anthem CCC Plus Pharmacy Member Services at 833-235-2027.

* CVS is an independent company providing pharmacy services on behalf of HealthKeepers, Inc. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of HealthKeepers, Inc.

 

AVA-NU-0539-21