Member Services |
Search Drug Formulary — Group ProductsLearn more about the formulary. Group Comprehensive Formulary with Supplemental Drug List (PDF) Order a printed drug formularyTo order a printed comprehensive drug formulary, call one of the Member Services numbers below: Group MedicareBlue Rx (PDP)Toll free: 1-877-838-3827 Group MedicareBlue PPO (Regional PPO)Toll free: 1-888-457-3009 What is a prescription drug formulary?A formulary is a list of covered drugs selected by the health plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. How much will I pay for my Group MedicareBlue PPO (Regional PPO) or Group MedicareBlue Rx (PDP) covered drugs?In order to receive maximum benefits from your coverage, the drugs you purchase must be included in the formulary and your prescriptions should be filled at one of the more than 59,000 contracted or "network" pharmacies nationwide, where your out-of-pocket cost will be lower than at a non-network pharmacy. Can the formulary change?Yes, drugs may be added to or removed from the formulary during the year. If we remove drugs from our formulary or add prior authorization, quantity limits, and/or step therapy restrictions on a drug, or move a drug to a higher level, we will notify members who take the drug at least 60 days before the change becomes effective. We may also notify members when they request a refill, at which time they will receive a 60-day supply of the drug. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug’s manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug. About supplemental drugsGroup MedicareBlue PPO (Regional PPO) and Group MedicareBlue Rx (PDP) feature a supplemental drug benefit that helps pay for many prescription drugs that Medicare does not cover and are not on the formulary. A list of these supplemental drugs is available at the back of the Group Comprehensive Formulary (PDF). You may purchase the drugs on the supplemental drug list for a 25 percent coinsurance. Please note that the amount you spend on supplemental drugs does not count toward reaching your True Out-of-Pocket maximum for catastrophic coverage. For this reason, we encourage you to talk with your doctor to identify alternate medications that are on the formulary. |
Compare Drug PlansMarch 19, 2010
This page last updated and accepted by CMS January, 2010.
MedicareBlue Rx (PDP) is a Medicare-approved Part D sponsor. MedicareBlue PPO (Regional PPO) is a Medicare-approved regional PPO plan.
Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* and Blue Cross Blue Shield of Wyoming.*
*Independent licensees of the Blue Cross and Blue Shield Association.
© 2010. All rights reserved.
R5566_121109_B01 RE CMS 01/10
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