Essential Drug List Drug list — Four Tier Drug Plan
Your plan includes coverage for medications you’ll find on this drug list. The drug list includes brandname and generic prescription medications approved by the FDA. Drugs that are not on this list may cost you more out of pocket. You and your doctor can use this list as a guide to choose the medications that are best for you. Your coverage has limitations and exclusions. It’s best to refer to your Certificate/Evidence of Coverage or Summary Plan Description (SPD) for details about what’s covered and what’s not. Inside you will find more information about how this drug list works with your prescription drug coverage. This booklet is updated on a quarterly basis. For the most up to date information, including newly added medications, generics and more, you can visit anthem.com/pharmacyinformation. For additional information about your pharmacy benefit, please call the Member Services number on your ID card.
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