1/2/2024 0 Comments Medica in inetwork providersYour drug cost will depend on your specific prescription drug plan and the formulary alternative prescribed by your doctor. Please ask your doctor to prescribe a drug that is on the formulary to treat your condition. The drugs listed below have been removed from the specified formularies (drug lists). Like most insurance coverage, our Blue Medicare HMO, Blue Medicare PPO and Blue Medicare Rx plans have some limitations and exclusions. For more information, see prior authorization, step therapy, and quantity limitations. To encourage the appropriate use of prescription drugs, some quantities are limited and some drugs must be approved before they will be covered. Over-the-counter drugs are not covered because they are excluded by Medicare. Certain vaccinations, insulin and insulin injection supplies are also covered on all formularies. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. Generic drugs have the same active ingredient formulas as brand name drugs. The drug list includes more generic, brand name and specialty drugs. The Blue Medicare Rx (PDP) Enhanced prescription drug list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. Many of the most popular generic prescriptions are included. The drug list for this plan has many highly utilized generic drugs and some brand name and specialty drugs. This list also includes a lower cost tier for some maintenance medications related to High Blood Pressure, High Cholesterol and Diabetic conditions.īlue Medicare Rx (PDP) Standard Plan prescription drug list is also based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. The drug list includes many highly utilized generic drugs and some brand name and specialty drugs. This list is based on a preferred list of FDA-approved prescription drugs and was developed using guidelines from the federal government. Additional Plan Informationīlue Cross and Blue Shield of North Carolina offers three drug formularies (drug lists) so Medicare beneficiaries can have options for their prescription needs.īlue Medicare HMO Enhanced, HMO Essential and Blue Medicare PPO Enhanced share the same Medicare prescription drug list. Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has been committed to making health care easier to navigate, more affordable and more accessible to all since 1933. To improve the health and well-being of our customers and communities – we won't stop until health care is better for all. Shatterproof does not offer Blue Cross NC products or services. is leading the implementation of ATLAS, a quality measurement system for addiction treatment facilities. Shatterproof, a national non-profit dedicated to reversing the addiction crisis in the U.S. You should consult your own legal counsel, tax advisor or personal physician as applicable throughout your health care experience. These tools are offered for your convenience and should be used only as reference tools. Call our customer service number on the back of your member ID card to report information that is wrong.īlue Cross and Blue Shield of North Carolina (Blue Cross NC) offers several decision-support tools to aid you in making decisions around your health care experience. But, because we often add new providers to our network, we can’t guarantee all the information in your search will be current. Please confirm provider participation with your specific plan under Find a Doctor.īlue Cross NC wants to make sure you have the most accurate and up-to-date information. Please note: Providers listed in ATLAS are not necessarily participating with all Blue Cross NC plans. Addiction and Substance Use Disorder Treatment Facility Locator - ATLAS®.Outpatient Behavioral/Mental Health Referral.Find a Vaccinating Pharmacy in Your Network.Non-Discrimination Policy and Accessibility Services.Get a Quote for Individual and Family PlansĪncillary and Specialty Benefits for Employees.Health Plans for Individuals and Families.
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