If you're already a member, you can email us at DirectoryRequest_MMP@anthem.com to ask for a printed Drug List. Our clinical management program provides personalized care and ongoing support through 1-on-1 phone calls and follow-up consultations.Learn more. endobj Log in to your account to manage your specialty prescriptions. London, KY 40742. We promise to always deliver simple ways to get the medication you need. 20500 Civic Center Drive Scroll down and select Pharmacy in the Category drop down. Physicians and professionals: 1-800-344-8525 Submit prior authorization requestselectronicallythrough CoverMyMeds. <>>> Anthem Blue Cross (Anthem) is pleased to offer CVS Specialty* as our designated specialty pharmacy for specialty medications administered in the office or outpatient hospital setting. Level 1: You can get prescriptions filled at Level 1 pharmacies for the same copay or percentage of the drug costs you usually pay as part of your prescription drug plan. Our resources vary by state. 1-877-258-0167 Find yours in our list ofphysician organization consultants (PDF). CVS Specialty dedicated Anthem Provider Services: Phone number: 1-877-254-0015 Fax: 1-866-336-8479 Hours of operation: Monday through Friday from 5 a.m. to 7:30 p.m. Pacific Time Saturday from 6 a.m. to 10 a.m. Pacific Time * CVS Specialty is an independent company providing specialty pharmacy services on behalf of Anthem. Posted 10:46:35 PM. Monday through Friday Compare plans available in your area and apply today. Monday through Friday If you're not a Blue Vision provider, send claims to: VSP If you need additional guidance, read the Dentaquest Dental Manual (PDF). Lets make healthy happen, 2021Anthem Insurance Companies, Inc., Privacy Guidance When Selecting Third-Party Apps (English), Privacy Guidance When Selecting Third-Party Apps (Spanish). Find out if your medication is available through CVS Specialty. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. Explore our resources. Whether you need advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via live chat now. Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Please update your browser if the service fails to run our website. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. TTY users: To reach any number listed here, dial 711. Manage your medicine from anywhere with the Sydney Health mobile app With the free app, you can: As one of the nation's leading health plans, Anthem serves millions of members in state-sponsored programs across the nation. Providing care for those who need it most requires a team effort. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. 1-800-344-8525 Say "date of service" to learn about a different claim. New member? Monday through Friday. Click on the link below to view a complete list of pharmacies participating in the Advantage Network. The National Network varies by state and may apply if you get your health insurance plan from an employer, if you purchase your coverage yourself, or if you have certain grandfathered plans. View listings below of the retail pharmacies that participate in our pharmacy networks. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members overall heath. Members dont receive multiple letters focused on individual clinical and cost-of-care programs. Monday through Friday, Care Management--Mail Code C355 1-800-378-0323 Specialty pharmacy Call 1-833-262-1726 Fax 1-833-263-2871 For more information, visit our Manage your prescriptions page. Don't have a secured provider portal account yet? 8 a.m. to 5 p.m. Explore programs available in your state. Contact customer service, Heritage Provider service: 1-800-252-2053. Effective for dates of service March 1, 2022, and beyond, requests for the medications listed above and the clinical information submitted will be reviewed for both medical necessity of the medication itself (as is done 1-800-762-2382 8:30 a.m. to 6 p.m. Monday through Friday. 2005 - 2023 copyright of Anthem Insurance Companies, Inc. Preferred Drug List and Formulary Search 1-844-876-7917 We look at claims data to find opportunities for our members to save money by switching them to lower-cost, therapeutically equivalent drugs. We've gathered resources and tools to help you work as efficiently and productively as possible and do what you do best- care for our members. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Get access to your online account. We also offer infusion services with Optum Infusion Pharmacy. IngenioRx is a separate company that provides pharmacy services and pharmacy benefit management services on behalf of Anthem Blue Cross and Blue Shield. Level 2: For an extra copay or percentage of the drug cost (depending on your benefit), you have more choices with Level 2 pharmacies, no matter which drug you fill. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? These medications are delivered to your home or shipped to a local CVS pharmacy for pickup. Note: The FEP phone system has a different set of prompts than the others. Business Sign up for updates on products, services, and innovations from CarelonRx. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. 1-800-249-5103 You can find yours by selecting your region below. Find answers to all your questions with an Anthem representative in real time. We take a comprehensive approach to encourage generic drugs and help keep our members healthy and reduce costs. P.O. Quickly and easily submit out-of-network claims online. Click on the link below to view a complete list of pharmacies participating in the Performance Network. Providers may continue to submit a claim for administration of the specialty pharmacy medications, which will be reimbursed at the current contracted rates. Pharmacy Information for Providers. Southfield, MI 48075. They will work with the pharmacy and the Anthem HealthKeepers Plus plan to review your case and replace your medicines as needed. When clients have both our medical and pharmacy benefits, we can access members combined medical, pharmacy and lab dataplus member eligibility and benefit informationin order to create a holistic health care picture. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Manage your medicine from anywhere with the Anthem mobile app With the free app, you can: Order refills Track orders View all prescriptions Download the app now: Page Last Updated: 06/09/21 For the Rx Choice and Base Networks, you can also find Retail 90 and Rx Maintenance 90 pharmacies where you can obtain up to a 90-day supply of your medicine, including CVS. Box 2227 You can also visit. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. You purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange), You purchased coverage off the exchange and not through your employer, Your coverage is through a Small Group employer on, and in some cases, off the exchange. Just keep in mind you'll need to go through the prompts before you're connected to someone. Start a Live Chat with one of our knowledgeable representatives. Federal Employees Program New member? Our small business plans offer a full range of health insurance options for groups with 2 to 50 or 100 employees, depending on your state. The resources on this page are specific to your state. 8:30 a.m. to noon and 1 to 5 p.m. We use drug lists, along with gaps-in-care messaging, to support overall member health. Automated information is available anytime. P.O. 1-844-396-2329 (TTY 711). You get your health insurance plan from an employer or if you have certain grandfathered plans. Available for iOS and Android devices. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. If your state isn't listed, check out bcbs.com to find coverage in your area. Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). We are leading the health care industry in the way we choose covered drugs, analyzing the strongest clinical drug studies and member data to see how drugs are really working for patients. CVS Specialty makes living with your condition easier. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. In Ohio: Community Insurance Company. 2 0 obj The Prior Authorization process allows for the request and approval of these medications. CVS Health ( NYSE: CVS ) is a coast-to-coast healthcare conglomerate comprised of retail / mail order. Facility and Special Programs Vision and hearing providers: 1-800-482-4047 Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Cost-of-care and clinical programs focus on total costs, and we encourage medications that help to reduce those total costs. Call Member Services at If your state isn't listed, check out bcbs.com to find coverage in your area. Health equity means that everyone has the chance to be their healthiest. The purpose of this communication is the solicitation of insurance. The automated system is available anytime. Step 1: Say "claims" when the system asks why you're calling. Plus, you may qualify for financial help to lower your health coverage costs. Not registered? Note:It can take up to 30 days for a claim to be processed. This will have no impact on how members obtain non-specialty pharmacy medications at retail pharmacies or by mail-order. Large Group Our drug lists allow members and their doctors to choose from a wide variety of prescription drugs. Hospitals or facilities: 1-800-249-5103 As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. Available via live chat with one of our knowledgeable representatives means that everyone has the chance to be processed condition! Advice from a pharmacist or training on injection techniques, our around-the-clock specialists are available via live with. Patient and whether you need with our automated system 8:30 a.m. to noon and 1 to p.m.... When the system 's prompts about your patient and whether you provided care in Michigan of drugs!, which will be reimbursed at the current contracted rates HealthKeepers Plus to... Obj the prior authorization requestselectronicallythrough CoverMyMeds of service '' to learn about a different claim members dont receive letters! 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