WebBLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered marks of the Blue Cross and Blue Shield Association, ... TWO formulary alternatives that are clinically appropriate, to treat the same condition, prior to approval (see Non-formulary Exception Criteria for detailed limitations). WebA formulary, also called a drug list, is a list of prescription drugs your insurance plan covers. It typically includes the most commonly prescribed drugs—both brand name and generic—and shows how much you pay …
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Web2024 CareFirst Preferred Drug List Formulary 2 (PDF) Rx Deductible. Combined Medical and Drug deductible ($1,500 Self-Only, $3,000 Self + One, $3,000 Self + Family) $100 Self Only. $200 Self + One/Self and Family. $0. Preventive Drugs. Examples: folic acid, fluoride and FDA approved contraceptives for women. $0, no deductible. WebThe Formulary Exception process allows members to apply for coverage of a non-covered drug if they have tried and failed the covered drug(s). Select the list of exceptions for your plan. ... You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. The protection of your ... shark boy and curry man
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WebIndividual and family plans Our individual and family plans have two drug lists, based on whether you have an HMO or PPO plan. HMO Custom Select Drug List (PDF) PPO … WebMyBlue Account Pharmacy Overseas Pharmacy What is the formulary list? How does the formulary work with my pharmacy benefit? What is the difference between the FEP Blue … WebDec 30, 2024 · Prescription Drug List. A prescription drug list is a list of drugs available to Blue Cross and Blue Shield of Oklahoma (BCBSOK) members. These drugs are considered to be safe and cost-effective. How much you may pay out-of-pocket for prescription drugs is determined by whether your medication is on the Drug List. shark boy actor name