We have two drug lists that show which drugs are in your plan.The Preferred Drug List (PDL) is the list of drugs that your doctor will use first when prescribing you medicine. The PDL includes all medications covered by Medicaid. Med Sync helps get your refills on the same schedule so you can pick up most of your medicines on just one day each month.Get started with Med Sync today! Formulary. The formulary is a list of all brand-name and generic drugs available in your plan. This drug list was updated in September 2020. CCC Plus members, call 1-833-235-2027 (TTY 711).If you had to pay for a medicine that is covered under your plan, you may submit a request for reimbursement form.For medicines purchased on or after October 1, 2019:If you have a complex or chronic health condition that requires special medicine, you can get the medicine you need. AL: Age Limit Restrictions . ** Change in formulary status is for Anthem National Open and Preferred Formularies only *** Change in formulary status is for Anthem National Closed Formulary only NOTE: This is a summary of 4/1/2020 changes only. Drugs on the formulary are organized by tiers. DO: Dose Optimization Program . Generic drug: Lowercase in plain type . The latest developments and submission guidelines from around the world are considered when developing and maintaining the drug list/formulary.Some medicines need a preapproval, or an “OK,” from Anthem HealthKeepers Plus before your provider can prescribe them. Your doctor can prescribe most of these medicines to you without getting preapproval, or an “OK,” from us. It includes all medicines covered by Medicaid. Providers may need to get approval from Anthem for certain drugs. All drugs on the formulary are covered, but many require preapproval before the prescription can be filled.Do you want to look up your medicine and find out if it is covered in your plan? ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.Visit the Centers for Medicare & Medicaid Services’ website for the latest news on the e-Rx Incentive Program It lists all the drugs found on the PDL, plus others. If you have questions, please call Humana Gold Plus Integrated (Medicare-Medicaid Plan) at 1-800 … Your request should include why a specific drug is needed and how much is needed. Your benefits include a wide range of prescription drugs. This is known as prior authorization. Covered (BadgerCare Plus and Medicaid) (Effective 1/1/2018) Covered by HealthCheck "Other Services" (Effective 9/1/2020) This includes brand-name and generic drugs, reviewed and recommended for their quality and for how well they work. Anthem Blue Cross and Blue Shield Medicaid (Anthem) has a list of drugs providers can choose from called a Preferred Drug List (PDL). Florida’s Agency for Health Care Administration (AHCA) regularly updates the Florida Medicaid Preferred Drug List. The review is done by the National Pharmacy and This formulary was updated on 8/1/2020. It lists all the drugs found on the PDL, plus others. Blank Page. The review is done by the National Pharmacy and Therapeutics (P&T) Process. Topics include preferred formulary products used to treat common diseases and conditions such as asthma and diabetes.If you would like additional pharmacy information to assist our members, contact your Provider Relations representative at nvproviderrelations@anthem.com to discuss having a Pharmacy Hot Tip prepared for you!©2020 copyright of Anthem Insurance Companies, Inc. When there is a generic drug available, it will be covered. For updated . Talk to your pharmacist about coordinating your prescriptions to get started.Have more questions about Med Sync? All drugs on the formulary are covered, but many require preapproval before the prescription can be filled. The PDL is updated frequently.The formulary is a list of all brand-name and generic drugs available in your plan. NC Medicaid and Health Choice Preferred Drug List (PDL) effective Jan. 1, 2020 Page 10 | Kentucky Preferred Drug List Effective August 24, 2020 III. Your prescribing doctor has to approve this change to make sure it’s appropriate for your care.Electronic prescribing, or e-Prescribing, lets the doctor who prescribes your medicines send your information right to a retail or mail-order drugstore in your plan.The Pharmacy and Therapeutics (P&T) Committee picks drugs considered to be the top choices based on their safety, effectiveness and value for our Drug List/Formulary.The P&T Committee is an independent group that includes practicing doctors, pharmacists and other health care professionals responsible for the research and decisions surrounding our Drug List/Formulary.