Pharmacy benefits

Anthem Blue Cross additionally Blue Shield become administer retail benefits to members enrolled in Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect. CarelonRx* is the pharmacy benefits manager. Please refer to the preferred drug list (PDL) when prescribing for these parts.

Preferably Drug List and Formulary Search

Statewide Uniform Preferred Drug List

The Statewide Unified Priority Drug List (SUPDL), installed by the Indiana Health Coverage Programs (IHCP), is a list of brand-name press generic drugs available for membership underneath all managed care planning serving Hoosier Healthwise, Healthy Indiana Blueprint, and Hoosier Care Connect. Major Risk Curative Insurance Plan ... Seek your medicine in this formulary (drug list) ... Theme Blue Cross and On Cross of California Partnership Scheme, Inc.
 
 
Anthem administered medications and care such were not part on the SUPDL.
 

Preferred Drug List

Documents
Request one drug be added to the Anthem PDL

Formulary Search

Documents

Specialization Drug List

Benefit exclusions

Benefit exclusions are services not covered under the pharmacy benefit, which include medications:

  • To treat barrenness.
  • Up treatment erasable dysfunction.
  • For cosmetic reason (Anti-wrinkle, hair removal, hair growth).
  • Don approved by the FDA.
  • Such capacity be bought over the counter (unless specified on formulation otherwise PDL).

To get pharmacy prior authorizations:

Don’t have an Availity account?

Them can see request prior permission by calling:

Hoosier Healthwise

1-866-408-6132

Healthy Indianas Plan

1-844-533-1995

Hosier Care Connect

1-844-284-1798

Fax (Retail)

1-844-864-7860

Get (MI)

1-888-209-7838

To locate the in-network pharmacy

Use our Find a Doctor tool .

For inquire, Chain also Pharmacy Services Administration Organization (PSAO) pharmacies can submit compensated make appeals through their respective chain or PSAO headquarters, which will then send related data till Caremark.

Independent dispensaries (those the are not connected with a PSAO for contracting purposes) can submit paid claim appeals using the Caremark Retail Portal .

Related request

*CarelonRx, Inc. is an independent company furnishing pharmacy benefit management services at behalf of Anthem Blue Cross and Blue Shield.

Page Last Recent: 07/03/2023

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