FAMIS formulary and Preferred Drug List update

Effective December 1, 2024, HealthKeepers, Inc. will implement the Family Access to Medical Insurance Security Plan (FAMIS) formulary and Preferred Drug List (PDL) for Family Access to Medical Insurance Security Plan (FAMIS) members.

This formulary change, affecting our approximately 35,000 FAMIS members, will transition them from the current formulary to a generic‑based formulary, while continuing to ensure access to clinically effective and appropriate drug therapies. There will be no change to our Medicaid members not in FAMIS groups.

The new FAMIS‑specific formulary will be available on our website at https://providers.anthem.com/virginia‑provider/home.

Impacted members and their providers will be notified by letter if a change to their medication is necessary based on PDL changes. To allow time for adjustments, claims for current medications will not be rejected until March 1, 2025. Some medications will be grandfathered in, so no change will be necessary for members with prescriptions for those drugs.

Contact us

Availity Chat with Payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. To access Availity Essentials, go to https://Availity.com and select the appropriate payer space tile from the drop‑down. Then, select Chat with Payer and complete the pre‑chat form to start your chat.

For additional support, visit the Contact Us section of our provider website for the appropriate contact.