The use of generic medications is a valuable way to reduce overall prescription drug costs without sacrificing quality.You have the option to choose a brand-name medication when a generic equivalent exists. As a Blue Cross of Idaho member, you have the right to ask us to make an exception to our prescription drug coverage rules. If you enroll in a new plan or there is a drug list update that has a negative effect on you, it's called a It's important to not only take your prescription medications correctly, but to make sure you are taking appropriate drugs. Standard Three-Tier Prescription Drug Formulary The Blue Cross of Idaho formulary is a list of drugs approved by Blue Cross of Idaho’s Pharmacy and Therapeutics Committee for coverage under your pharmacy benefit. Blue Cross of Idaho provides health insurance, dental insurance, and medicare advantage coverage to the residents of Idaho. However, when a brand-name medication is chosen over an available generic equivalent, you will pay the cost difference between the brand-name and generic medications, in addition to the brand-name copayments.Some medications may have limits on how many doses are paid for by your policy. Learn more here. EMPLOYER GROUP Get quality care … The Blue Cross of Idaho formularies list drugs approved for coverage under your policy. Preventive care generally does not include medications prescribed for treatment of an existing illness or condition.An Independent Licensee of the Blue Cross and Blue Shield Association Costs are lowest for first tier (generic) drugs, and costs increase as the tiers increase. Blue Cross of Idaho partners with IngenioRx to provide pharmacy benefits to most of our membership. NOT ALL EMPLOYERS CHOOSE TO PARTIPATE IN THE EXCLUSIVE SPECIALTY PHARMACY PROGRAM. Limits are established with the manufacturers and the U.S. Food and Drug Administration’s (FDA) recommendations and accepted medical practices.Quantity Limits for Commercial and Qualified Health Plans are included in the formulary.If your doctor or pharmacy told you a medication you were prescribed has a quantity limit and you have additional questions, please contact Preventive medications are generally prescribed for people who may be at risk for certain illness or condition, but are not yet showing symptoms. To access a prescription drug mail order form, login and select Pharmacy Information from the Prescription Drugs menu. Our Powered by Blue Cross of Idaho Care Plus, Inc.
The formularies include brand name as well as generic drugs that have undergone rigorous testing and are approved by the Food and Drug Administration (FDA). You can ask us to cover a drug that's not on our list of covered drugs, cover a drug at a lower cost-sharing level or even waive coverage restrictions. Your plan includes pharmacy benefits. Not all drugs approved … The formularies include brand name as well as generic drugs that have undergone rigorous testing and are approved by the Food and Drug Administration (FDA). Compare all Medicare Part D Prescription Drug plans offered by Blue Cross of Idaho in Idaho. The formularies also provide information regarding the following:Most employer groups use one of three formularies. Please refer to the back of your patient’s Blue Cross of Idaho ID card to determine if their benefits are administered by Blue Cross of Idaho Rx. The formularies also provide information regarding the following:Most employer groups use one of three formularies. SP=Exclusive Specialty Pharmacy: Blue Cross of Idaho participates in the CVS specialty drug program to allow members to access high-cost medications at carefully controlled rates. As a Blue Cross of Idaho member, you have the right to ask us to make an exception to our prescription drug coverage rules. Learn more here. Please click the button below to access your benefits. Drug List Appeals. MEDICAID & MEDICARE Explore the right plan to cover your healthcare needs. PLEASE NOTE: Not all Blue Cross of Idaho policies include mail order pharmacy benefits. The formularies include brand name as well as generic drugs that have undergone rigorous testing and are approved by the Food and Drug Administration (FDA). In addition to the tiers, certain preventive drugs may be covered at no cost.To obtain a cost estimate for prescribed medications, based on your current benefits and accumulations, complete the following steps:For questions regarding cost estimates obtained through the CVS website, or to obtain a cost estimate for your prescriptions over the phone, please contact If you would like to know more about Specialty medications, please visit the Generic drugs are equivalent to brand-name drugs in dosage, safety, strength, route of administration, quality, performance characteristics and intended use.
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