WebDec 31, 2024 · Performance Formulary. Request Printed Copy. Plans Applicable to. Community Blue Medicare HMO Signature. Community Blue Medicare Plus PPO Distinct. … WebIndividual and family plans Our individual and family plans have two drug lists, based on whether you have an HMO or PPO plan. HMO Custom Select Drug List (PDF) PPO Custom Select Drug List (PDF) Not sure which plan type you have? Check your Blue Cross ID card or call the customer service number on the back of your card. Drug List Updates (PDF)
Highmark Blue Shield of Northeastern New York Formulary 2
WebAlternative Therapy Analgesic, Anti-Inflammatory Or Antipyretic Anesthetics Anorectal Preparations Antidotes And Other Reversal Agents Anti-Infective Agents Antineoplastics Antiseptics And Disinfectants Biologicals Cardiovascular Therapy Agents Central Nervous System Agents Chemical Dependency, Agents To Treat Chemicals-Pharmaceutical … WebSep 19, 2024 · Formulary Updates. This page includes information on the bi-monthly updates to our formularies and pharmaceutical management procedures. The websites … simply thrifty thrift store
2024 Highmark Inc. Blue Rx PDP Plus (PDP) US News
http://highmarkbcbs.com/ Web2024 Custom Drug List This list is current as of 08/17/22 Trade Name Dosage Form Strength Tier Drug Description Carteolol HCL drops 1% Tier 1 beta-blockers WebMar 17, 2024 · C. Changes to the Highmark Core Formulary D. Changes to the Highmark National Select Formulary E. Updates to the Pharmacy Utilization Management Programs 1. Prior Authorization Program 2. Managed Prescription Drug Coverage (MRxC) Program 3. Formulary Program 4. Quantity Level Limit (QLL) Programs Section II. Highmark Medicare … simply thrifty richardson tx