The rising cost of prescription drugs is becoming harder to swallow. That's why most Anthem health plans come with prescription coverage to help make medication more affordable. Learn more about our prescription drug benefit and valuable resources like online access to our drug/list formulary and ordering prescriptions online.
At Anthem Blue Cross and Blue Shield and its subsidiary, HMO Colorado, many of the health plans include a prescription drug benefit with various cost-sharing requirements. Please refer to your Certificate or Benefit Booklet, and Health Plan Description Form, provided with your member enrollment materials for that important information.
Anthem offers an array of programs and services that can help manage prescription benefit costs.
If you use one or more specialty medications, learn more about our preferred specialty medication provider, Accredo. Some members must use Accredo to obtain certain specialty medications – click the link above to learn more.
If you regularly use any maintenance medication for hormone replacement or an ongoing condition such as asthma, diabetes, high blood pressure or arthritis, you'll appreciate the convenience and savings of having your prescriptions filled by the Express Scripts Home Delivery Pharmacy (home delivery) online.
The Anthem Drug List/Formulary is a list of brand name and generic medications that have been reviewed and selected by a committee of practicing doctors and clinical pharmacists for their quality and effectiveness. If your prescription coverage includes a drug list/formulary, you can save money by encouraging your doctor to prescribe you medications from this preferred list.
We offer a fourth-tier drug benefit in our group plans. This benefit provides coverage for certain self-administered injectable drugs, such as those used to treat hepatitis, rheumatoid arthritis and multiple sclerosis. Please note the fourth-tier self-administered injectable drugs must be obtained from a participating pharmacy to be considered a covered benefit.
Home Delivery Pharmacy Order Form
Prescription Drug Claim Form
To find these forms, members must visit the Express Scripts website after login to their health plan site. Click the link in the Refill a Prescription section after login." On the Express Scripts site, select the Claims Reimbursement Form from the Printable Forms section