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Prescription

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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. 
Some of the links on this page can only be viewed using Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader, you can download a free copy by clicking HERE.  
Specialty Pharmacy
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. 
 
Home Delivery Pharmacy
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. 
 
Getting Started with Home Delivery
 
Pharmacy and Therapeutics Committee
 
Anthem Drug Lists/Formularies

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.

CO Tiered Drug List - to be used by members who have a tiered drug plan.

CO Tiered Drug List - Spanish

CO Non-Tiered Drug List - to be used by members who have a non-tiered drug plan.

CO Non-Tiered Drug List – Spanish

CO Generic Only Drug List – to be used by members who have a generic-only drug plan.

Search the Drug List/Formulary
 
Glossary of Prescription Terms
 
Colorado Fourth Tier Drug 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

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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use