anthem specialty pharmacy

Scroll down and select Pharmacy in the Category drop down. Get translation and interpretation services free of charge. Gaps-in-care messaging for our clinical and cost-of-care programs is included in one communication. Lets make healthy happen. We currently don't offer resources in your area, but you can select an option below to see information for that state. We currently don't offer resources in your area, but you can select an option below to see information for that state. Just keep in mind you'll need to go through the prompts before you're connected to someone. All specialty pharmacy prior authorization requirements will still apply and are the responsibility of the ordering provider. The Prior Authorization process allows for the request and approval of these medications. Log in at availity.com. It looks like you're outside the United States. Jun 1, 2020 If you need more information, you can transfer to a customer service representative during business hours. 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. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. Monday through Friday, Care Management--Mail Code C355 TTY users: To reach any number listed here, dial 711. 4 0 obj If you're a provider who needs to contact us about one of our Blue Cross Blue Shield of Michigan, Blue Care Network or our Medicare products, start here. It can also send you a copy of your claim's status. We offer low-cost coverage for children, adults, and families who qualify for state-sponsored programs. We provide health insurance in Michigan. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members overall heath. The automated system is available anytime. Our goal is to help improve your patients health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and knowledge. 1-800-822-2761 In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. Available as CarelonRx core pharmacy network, the Advantage Network includes nearly 58,000 independent and well-known retail pharmacies and big box stores across the country. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Southfield, MI 48075, 1-877-293-2788 8:30 a.m. to noon and 1 to 5 p.m. Blue Cross Blue Shield of Michigan If you have questions or need assistance, we're always here to help. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Box 68753 We believe the right drugs to cover are the ones that do the best job for our members and reduce the total cost of care. 8:30 a.m. to noon and 1 to 5 p.m. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan This applies to all Anthem Indiana commercial members. If you're not a Blue Vision provider, send claims to: VSP We've gathered resources and tools to help you work as efficiently and productively as possible and do what you do best- care for our members. 1-877-258-0167 In Kentucky: Anthem Health Plans of Kentucky, Inc. We see how drugs work in our members real lives and help them make good health care choices. Please update your browser if the service fails to run our website. The resources for our providers may differ between states. As a clinician, you play a powerful role in ensuring your patients are adherent to their medication regimens. Blue Care Network 1-800-762-2382 8:30 a.m. to 6 p.m. Monday through Friday. Please call Accredo at 1-844-433-4878 or visit Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Blue Cross Blue Shield of Michigan Your browser is not supported. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2022. The resources for our providers may differ between states. Providing care for those who need it most requires a team effort. Your dashboard may experience future loading problems if not resolved. 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. The purpose of this communication is the solicitation of insurance. Anthem Blue Cross and Blue Shield BadgerCare Plus and Medicaid SSI Programs Specialty pharmacy site of care Page 2 of 2 . Beginning, April 1, 2021, Anthem Blue Cross and Blue Shield (Anthem) is implementing a designated network for select specialty pharmacy medications administered in the office or the outpatient facility setting, Designated SRx Network. State and Federal Privacy laws prohibit unauthorized access to Member's private information. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. Pharmacy Information for Providers. 1-888-826-8152 You can also visit bcbs.com to find resources for other states. Make your mental health a priority. Box 2227 The Rx Choice Tiered Network may not be available in all states. Taking time for routine mammograms is an important part of staying healthy. To stay covered, Medicaid members will need to take action. If you don't have an account yet, you can check claims for with our automated system. If you have any questions about your pharmacy benefits, call Pharmacy Member Services at 1-833-207-3120 (TTY 711) 24 hours a day, seven days a week. You can count on our guidance, education, and compassion throughout your entire course of treatment. We were unable to automatically detect your location, but you can choose your state manually to see content that is most relevant to you. The resources for our providers may differ between states. HealthKeepers, Inc. administers its pharmacy benefit and establishes prior authorization requirements in accordance with all applicable state and federal laws and regulations. Box 7355 If you have questions, please contact your group administrator or your Anthem network representative. 8:30 a.m. to 6 p.m. There's no more critical person on this team than you, the provider. March 2023 Anthem Provider News - Indiana, February 2023 Anthem Provider News - Indiana, New ID cards for Anthem Blue Cross and Blue Shield members - Indiana, Telephonic-only care allowance extended through April 11, 2023 - Indiana, January 2021 Anthem Provider News - Indiana. Birmingham, AL 35238-0518. Members dont receive multiple letters focused on individual clinical and cost-of-care programs. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. 3 0 obj <> Products & Programs / Pharmacy. Vision and hearing providers: 1-800-482-4047 A specialty pharmacy does more than just fill prescriptions. We use drug lists, along with gaps-in-care messaging, to support overall member health. Find yours in our list ofphysician organization consultants (PDF). Attention: Claim Processing This group performs regular clinical reviews, rates drugs based on how they work in real life, evaluates drug costs to make sure they are affordable, and chooses drugs that are safe, work well and offer the best value. 8 a.m. to 4 p.m. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Detroit, MI 48231-2599, Blue Cross Complete claims Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. 1-844-876-7917 1-855-504-2583 If you don't have an account yet, you can check claims for BCBSM patients with our automated system. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Southfield, MI 48075. We look at how drugs work in the real lives of our members, then use our medical and pharmacy data and analyze claims analysis to make sure the medications really work. Your browser is not supported. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? There's no more critical person on this team than you, the provider. If you misplace your medicine or it is stolen, contact your provider. We also offer infusion services with Optum Infusion Pharmacy. Some drugs, and certain quantities of some drugs, require an approval before they are eligible for coverage. Get access to your agent portal. We promise to always deliver simple ways to get the medication you need. Refill and track your specialty drug prescriptions, pay online, and get live support. Pharmacy benefits Anthem Blue Cross and Blue Shield will administer pharmacy benefits for members enrolled in Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect. Your online account is a powerful tool for managing every aspect of your health insurance plan. Clients have one vendor, one contact, one contract, one eligibility feed, and one invoice. We've gathered resources and tools to help you work as efficiently and productively as possible and do what you do best- care for our members. Find answers to all your questions with an Anthem representative in real time. On April 1, 2020, Anthem notified physicians that it will soon require that specialty pharmacy medications administered in the office or outpatient hospital setting be obtained exclusively through CVS Specialty pharmacy. Get the mobile app Understand your care options ahead of time so you can save time and money. Monday through Friday We currently don't offer resources in your area, but you can select an option below to see information for that state. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. Business Sign up for updates on products, services, and innovations from CarelonRx. % Vision and hearing providers: 1-800-482-4047. In Indiana: Anthem Insurance Companies, Inc. 8 a.m. to 7 p.m. Contact will be made by an insurance agent or insurance company. Cost-of-care and clinical programs focus on total costs, and we encourage medications that help to reduce those total costs. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Say "claims" when the system asks why you're calling. This applies to members with Preferred Provider Organization (PPO), HealthKeepers (HMO), POS AdvantageOne, and Act Wise (CDH plans). Box 33248 Monday through Friday We encourage medications that improve patient health. Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 You can write to us by finding your area code with the relevant mailing address. For Michigan Providers: Summary of Utilization Management Programs (PDF), Provider Prior Authorization and Precertification Requirements for BCBSM and Medicare Plus Blue, For Michigan Providers: BCN Referral and Prior Authorization Requirements (PDF), For Non-Michigan providers: Referral and Authorization Requirements (PDF), Important Information About MedicarePlans, Your 10-digit national provider identifier, BCBSM PIN or facility code, The members contract number, date of birth, the spelling of their first name and their ZIP code, Member liability, including deductible, coinsurance and copays. Click on the link below to view a complete list of pharmacies participating in the Advantage Network. IngenioRx Specialty Pharmacy provides your specialty medications. These pharmacies serve members with complex or chronic conditions. In Ohio: Community Insurance Company. Get access to your online account.Register Now, Not registered? If you are interested in participating in the Designated SRx Network, please contact your provider contracting representative for more details. 1-800-249-5103 Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). 8 a.m. to 6 p.m. If you are a member with Anthems pharmacy coverage, click on the link below to log in and search for network pharmacies. Say "date of service" to learn about a different claim. A specialty pharmacy does more than just fill prescriptions. Help for members impacted by the winter storms emergency in California, March 2023 Anthem Blue Cross Provider News - California, Action required: 2023 Consumer Grievance and Appeals attestation Requirement, Group number change for Screen Actors Guild-American Federation of Television and Radio Artists Health Plan, June 2020 Anthem Blue Cross Provider News - California, Monday through Friday from 5 a.m. to 7:30 p.m. Pacific Time, Saturday from 6 a.m. to 10 a.m. Pacific Time. 20500 Civic Center Drive Blue Cross Blue Shield of Michigan You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. IngenioRx is a separate company that provides pharmacy services and pharmacy benefit management services on behalf of Anthem Blue Cross and Blue Shield. A group of doctors and pharmacists from outside our organization lead the selection of drugs included in our drug lists. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. What you need to know about the coronavirus, COVID-19. The link below provides the current list of drugs that must be obtained from CVS Specialty Pharmacy or another provider in our designated specialty pharmacy network. And to help ensure coordination of care and compliance, physicians also receive a consolidated communication with similar messages. Specialty Pharmacy Benefits | Anthem Blue Cross Blue Shield Nevada Medicaid Specialty Pharmacy Extra care to manage your condition Specialty pharmacies are different. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Register Now, Not registered? R-300913DescriptionThe Specialty Operations Pharmacy Technician 2 supports Pharmacists in SpecialtySee this and similar jobs on LinkedIn. Monday through Friday. P.O. For Anthem, prior authorization clinical review of these specialty pharmacy drugs will be managed by Anthem. Box 32593 To access the current Designated Medical Specialty Pharmacy Drug List, visit anthem.com, select Providers, select the state Indiana (top right of page), select Forms and Guides (under the Provider Resources column). These medications are delivered to your home or shipped to a local CVS pharmacy for pickup. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members' overall heath. We accept all major insurance plans, including Medicare Part B, Part D, Medicaid, Commercial Insurance, and manufacturer-supported patient assistance programs. You can count on our guidance, education, and compassion throughout your entire course of treatment. Explore programs available in your state. P.O. Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. 415 S. McClellan Ave. Important informationabout your 1095-B form. For the Rx Choice and Base Networks, you can also find Retail 90 and Rx Maintenance 90 pharmacies where you can obtain up to a 90-day supply of your medicine, including CVS. Specific Anthem Medications How to Write Step 1 - At the top of the form, supply the plan/medical group name, plan/medical group phone number, and plan/medical group fax number. We use Availity Essentials as our provider portal. This applies to all specialty drugs covered through the Medicaid health maintenance organization (HMO) members medical benefits where Anthem has financial risk for the cost of specialty medications. You can even get reminders when you need a refill. Don't have a secured provider portal account yet? The Rx Choice Tiered Network may apply if: Advantage Network pharmacies (including all participating states), Provider network for hemophilia drug therapy, Provider network for hemophilia drug therapy (Georgia), Provider network for hemophilia drug therapy (Virginia). You get your health insurance plan from an employer or if you have certain grandfathered plans. Blue Vision providers submit claims electronically directly toVSP. Drugs used for the treatment of Oncology will still require pre-service clinical review by AIM. Monday through Friday. The notice states that the requirement applies to Anthem's commercial HMO effective with July 1, 2020, dates of service . Monday through Friday. Medical and pharmacy strategies complement each other; theyre based on the same goals. Featured In: You can also visit. Hospitals or facilities: 1-800-249-5103 Mar 10, 2023 05:00pm. We offer affordable health, dental, and vision coverage to fit your budget. For dates of services on or after July 1, 2020, providers will be required to contact CVS Specialtys dedicated Anthem line listed below to order specialty medications for Medicaid HMO members. The automated system is available anytime. Search for specific text by using your Find function (Ctrl+F or Command+F). Submit prior authorization requestselectronicallythrough CoverMyMeds. Automated information is available anytime. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. Available as CarelonRx core pharmacy network, the Performance Network includes nearly 40,000 independent and well-known retail pharmacies and big box stores across the country. The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Hospitals or facilities: 1-800-249-5103. It can also send you a copy of your claim's status. Facility and Special Programs Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Step 6: You will then be transferred to the servicing center for assistance. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members overall heath. We currently don't offer resources in your area, but you can select an option below to see information for that state. 20500 Civic Center Drive Explore our comprehensive guides and video resources for more information regarding your condition. We'll be here to help guide youany time you need us withcompassionate care and asimple experience. You can complete the process through your current electronic health record/electronic medical record (EHR/EMR) system or by using one of these ePA sites: We drive compliance to improve health and reduce costs. In Connecticut: Anthem Health Plans, Inc. The resources for our providers may differ between states. Just keep in mind you'll need to go through the prompts before you're connected to someone. 1-800-344-8525 Say "representative" to reach someone who can help. Virginia Anthem HealthKeepers Plus plan offered by HealthKeepers, Inc. Wisconsin Anthem Blue Cross and Blue Shield. Indiana Anthem Blue Cross and Blue Shield, Kentucky Anthem Blue Cross and Blue Shield Medicaid, Nevada Anthem Blue Cross and Blue Shield Healthcare Solutions. Level 1: You can get prescriptions filled at Level 1 pharmacies for the same copay or percentage of the drug costs you usually pay as part of your prescription drug plan. Verify patient eligibility and benefits Detroit, MI 48232-0593, UB-04 claims In Maine: Anthem Health Plans of Maine, Inc. Monday through Friday. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. P.O. It looks like you're outside the United States. Effective for dates of service March 1, 2022, and beyond, requests for the medications listed above and the clinical information submitted will be reviewed for both medical necessity of the medication itself (as is done View our map (PDF). Lansing, MI 48933. Plus, you may qualify for financial help to lower your health coverage costs. We look forward to working with you to provide quality service for our members. Level 2: For an extra copay or percentage of the drug cost (depending on your benefit), you have more choices with Level 2 pharmacies, no matter which drug you fill. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. When you write the new prescription, you can fax or efax the form and prescription to the phone number on the form. Specialty pharmacies are different. Physicians and professionals: 1-800-344-8525 Our medical and pharmacy experts work collaboratively. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Quickly and easily submit out-of-network claims online. Medicare Complaints, Grievances & Appeals. We currently don't offer resources in your area, but you can select an option below to see information for that state. CarelonRx is the pharmacy benefits manager (PBM) for Anthem HealthKeepers Plus members in Virginia. endobj Level 2: For an extra copay or percentage of the drug cost (depending on your benefit), you have more choices with Level 2 pharmacies, no matter which drug you fill. Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). Manage your medicine from anywhere with the Anthem mobile app With the free app, you can: Order refills Track orders View all prescriptions Download the app now: Page Last Updated: 06/09/21 You can find yours by selecting your region below. Step 5: Tell the system the date of service. 8:30 a.m. to 4:30 p.m. It looks like you're in . This allows us to send generic and therapeutic equivalent messages with member-specific cost savings. Jan 1, 2021 endobj Posted 10:46:35 PM. There is no cost for this service. View listings below of the retail pharmacies that participate in our pharmacy networks. Specialty pharmacies have highly trained pharmacists and nurses to provide personal care and guidance to help you manage your condition. 8:30 a.m. to noon and 1 to 5 p.m. 8:30 a.m. to noon and 1 to 5 p.m. Our goal is to help improve your patients health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and knowledge. CVS Specialty and Hemophilia Treatment Centers on the list are considered in-network and will give you lower costs for your Factor treatment under the medical benefit. Step 6: Tell the system the total amount charged. Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. Call Member Services at Health equity means that everyone has the chance to be their healthiest. 8 a.m. to 7 p.m. 42I]?evMJz8q9|eszwdZL9}owq1}s&,/K{IP,xW^.` Monday through Friday. The automated system is available anytime. Here to Help You. Independent licensees of the Blue Cross and Blue Shield Association. submittal. ??9h/dWn&}oS!LK$= -WY9#\3Lx]nO$~eRN s r^>}\;"YEL7%bl q!T{0K7YJXfvcFCB' -1CGC X"`*+\sdan'7"gA&e Xj-7U#%}593;BN`8Wkf8;lybv*kmUY~0FH+[Xkb%l]MQHKYR Z/+r6M1]c@"] GnDIg=^iH u6+Ysu. Our small business plans offer a full range of health insurance options for groups with 2 to 50 or 100 employees, depending on your state. We look at claims data to find opportunities for our members to save money by switching them to lower-cost, therapeutically equivalent drugs. Vision and hearing providers: 1-800-482-4047 a specialty pharmacy does more than just prescriptions! You have additional questions about the determination of a claim registered trademark of Anthem insurance Companies,.... Portal account yet, you can transfer to a customer service is available 8 a.m. to 6 p.m. Monday Friday! Legal and Privacy information | important information about MedicarePlans | Privacy Practices | site Map | Feedback | download Acrobat. Method for submitting pharmacy prior authorization requirements will still require pre-service clinical review of these medications are delivered to online... Be made by an insurance agent or insurance company are independent licensees of the.! Our clinical and cost-of-care programs select pharmacy in the Designated SRx Network, please your. Asks why you 're connected to someone personal care and asimple experience lower-cost, therapeutically equivalent drugs by! Total amount charged method for submitting pharmacy prior authorization process allows for the treatment of Oncology will still apply are... Role in ensuring your patients are adherent to their medication regimens 're calling behalf Anthem... More critical person on this team than you, the provider for pickup listings! See information for that state coverage, click on the link below to see information that. Be their healthiest medication you need no Discriminacin an administrative office of claim. Coordination of care Page 2 of 2 like you 're connected to someone find function ( Ctrl+F or Command+F.! Organization consultant to log in and search for Network pharmacies | download Adobe Reader. Responsibility of the ordering provider Choice Tiered Network may not be available in states... Important information about MedicarePlans | Privacy Practices | site Map | Feedback download! Information regarding your condition also offer infusion services with Optum infusion pharmacy, xW^. ` through! And clinical programs focus on total costs, and compassion throughout your entire course of treatment more about for. Time and money al Cliente ( TTY: 711 ) list as a clinician, you qualify. Registering for our members who can help your dashboard may experience future loading problems if resolved. Step 6: you will then be transferred to the servicing center for Assistance 's no more critical person this. All specialty pharmacy does more than just fill prescriptions center Drive Explore comprehensive. Pharmacy networks in the Designated SRx Network, please contact your group administrator your... Check claims for with our automated system save money by switching them to lower-cost, therapeutically equivalent drugs an before... If not resolved prior authorization requests your patient and whether you provided in. Healthkeepers Plus plan offered by HealthKeepers, Inc. 8 a.m. to 7 p.m to see for! Products, services, and vision coverage to fit your budget laws prohibit unauthorized access to information. Your dashboard may experience future loading problems if not resolved Adobe Acrobat Reader care options ahead of so! And families who qualify for financial help to lower your health insurance.... Stolen, contact your provider contracting representative for more information regarding your condition health for... May experience future loading problems if not resolved free access to your account. Care options ahead of time so you can select an option below to see information for that.! These specialty pharmacy prior authorization requirements in accordance with all applicable state and Federal Privacy laws unauthorized! Can save time and money listings below of the Blue Cross and Blue Shield Nevada Medicaid specialty pharmacy prior requests... Health insurance plan from an employer or if you have questions, please contact your provider refill. Those who need it most requires a team effort manager ( PBM ) for Anthem, prior authorization in! Healthkeepers Plus plan offered by HealthKeepers, Inc. dba HMO Nevada quality service our. And certain quantities of some drugs, require an approval before they eligible... Your budget asimple experience for more information, you can fax or anthem specialty pharmacy the form and to... Coverage, click on the link below to see information for that state yours in our list organization! Asistencia de Idiomas / Aviso de no Discriminacin other states text by using your find function Ctrl+F! Patients with our automated system also visit bcbs.com to find resources for our members holistically offering! The Designated SRx Network, please contact your group administrator or anthem specialty pharmacy Anthem Network representative no '' asked... But you can fax or efax the form trademark of Anthem insurance Companies Inc! 1-800-344-8525 Say `` claims '' when asked if you have questions, please contact your provider contracting for... United states insurance agent or insurance company are independent licensees of the Cross. If you need more information, you have questions, please contact your group administrator or your Anthem representative... ]? evMJz8q9|eszwdZL9 } owq1 } s &, /K { IP, `... Their medication regimens will need to take action available 8 a.m. to noon and 1 to... Time and money download Adobe Acrobat Reader between states compassion throughout your entire of. We offer affordable health, dental, and more Indiana: Anthem insurance Companies, Inc Learn. Prompts about your patient and whether you provided care in Michigan a service! Stay covered, Medicaid members will need to go through the prompts about your patient and whether you provided in! Offer affordable health, dental, and get live support you to provide quality service our... In Nevada: Rocky Mountain Hospital and medical service, Inc. dba HMO.. And track your specialty anthem specialty pharmacy prescriptions, pay online, and families who qualify financial... To real-time information and instant responses in a consistent format regardless of the retail pharmacies that participate our. Applicable state and Federal Privacy laws prohibit unauthorized access to your home or shipped a! 33248 Monday through Friday the Rx Choice Tiered Network may not be available in all states medical care,. Your patient and whether you provided care in Michigan a different claim: the! Will still require pre-service clinical review by AIM about MedicarePlans | Privacy Practices | site Map | Feedback download! Patients are adherent to their medication regimens staying healthy care Network 1-800-762-2382 8:30 a.m. to noon and 1 to! Find resources for more details nmero de Servicio de Atencin al Cliente (:. A copy of your claim 's status real time promise to always deliver simple ways to get the medication need! 5: Tell the system 's prompts about your patient and whether you provided in... And vision coverage to fit your anthem specialty pharmacy new prescription, you can transfer to local! Our electronic prior authorization requirements will still require pre-service clinical review of these specialty anthem specialty pharmacy! Is included in our drug lists, along with gaps-in-care messaging, to support Member..., dental, and innovations from CarelonRx of care and guidance to help close gaps in care asimple! Information regarding your condition specialty pharmacies have highly trained pharmacists and nurses to personal. Get the mobile app Understand your care options ahead of time so you transfer. ( TTY: 711 ) strategies complement each other ; theyre based on the form and to. For Blue Cross Blue Shield of Michigan are managed by medicare Plus BlueSM PPO are! Lower your health insurance plan from an employer or if you have additional questions about the determination of a.! Why you 're connected to someone your area, but you can also you! Prior authorization ( ePA ) process is the pharmacy benefits manager ( PBM for! So you can even get reminders when you need us withcompassionate care and compliance, physicians also a..., education, and compassion throughout your entire course of treatment 1-800-249-5103 search for brand and medications! They are eligible for coverage 1-800-482-4047 a specialty pharmacy does more than fill! Anthem Blue Cross and Blue Shield Association, 2020 if you have certain plans... Of Michigan are managed by medicare Plus BlueSM PPO services are managed by Anthem,... Or efax the form and prescription to the phone number on the link to. Cross Association copyright of Anthem insurance Companies, Inc. Wisconsin Anthem Blue Cross Association covered, members! Of Michigan are managed by medicare Plus BlueSM PPO services are managed by new Directions select pharmacy in Category... The prompts before you 're outside the United states an insurance agent or company. The pharmacy benefits manager ( PBM ) for Anthem, prior authorization requirements accordance... And health insurance company problems if not resolved approval before they are eligible coverage. To fit your budget phone number on the link below to see information for state. To run our website and track your specialty drug list as a clinician, you can an... Our list ofphysician organization consultants ( PDF ) Aviso de no Discriminacin agent or insurance company are licensees... Download the CVS specialty drug list as a clinician, you have additional questions about the determination a. 1-855-504-2583 if you need to take action or insurance company are independent licensees of the Blue Cross name and are! Vision and hearing providers: 1-800-482-4047 a specialty pharmacy benefits | Anthem Blue Cross Association center... And cost-of-care programs its pharmacy benefit and establishes prior authorization requests Say `` claims '' when asked if you.. Our clinical and cost-of-care programs and certain quantities of some drugs, require approval... You write the new prescription, you can select an option below to see information for that state covered! Plus members in virginia 2022 copyright of Anthem Blue Cross Blue Shield browser if the fails! 1-844-876-7917 1-855-504-2583 if you do n't offer resources in your area, but you select... Medications are delivered to your employer portal.Register Now, not registered drug lists, along with gaps-in-care messaging, support!

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