Anthem National Direct Drug List 3-Tier with Split Generic Tier GASTRO-INTESTINAL AGENTS

Anthem National Direct Drug List 4-Tier GASTRO-INTESTINAL AGENTS

Anthem National Direct Drug List 5-Tier GASTRO-INTESTINAL AGENTS

Anthem Essential Drug List 3-Tier with Split Generic Tier - GASTRO-INTESTINAL AGENTS

Anthem Essential Drug List 4-Tier with Split Generic Tier - GASTRO-INTESTINAL AGENTS

Anthem Essential Drug List 5-Tier with Split Generic Tier - GASTRO-INTESTINAL AGENTS

Cigna

Advantage Prescription Drug List - (1602)

Cigna

Performance Prescription Drug List

Cigna

Standard Prescription Drug List

(1601)

Cigna

Total Savings

Prescription

Drug List -

(1602)

Cigna

Value

Prescription

Drug List -

(1602)

Florida Blue Responsible Steps Program

Florida Blue Drugs that are Not Covered

Florida Blue Generic Choices Medication Guide

GASTRO-INTESTINAL AGENTS - January 2020

Florida Blue NetResults: A Series Medication Guide

GASTRO-INTESTINAL AGENTS - October 2020

Florida Blue Open Medication Guide for GASTRO-INTESTINAL AGENTS - October 2020

BlueMedicare Classic (HMO) H1035-019

BlueMedicare Classic (HMO) H1035-020

BlueMedicare Classic (HMO) H1035-021

BlueMedicare Choice (Regional PPO) R3332-001

Humana Group Plus Step Therapy Criteria - 2021

Humana Gold Plus SNP-DE (HMO D-SNP)

Humana Fully Integrated (HMO D-SNP)

Humana Injectable Drugs & Biologics Step Therapy Requirement for Medicare Advantage Plans (Jan. 13, 2021)

Independence Blue

Specialty Pharmacy Drugs: Select Drug Program & Value Formularies

Independence Blue

Non-Formulary Drug Formulary Alternatives - October 1, 2020

Independence Blue

Premium Formulary Step Therapy

July 1, 2020

Independence Blue

 SELECT FORMULARY Tier 3 Value Formulary - Skin & Mucous Membrane Agents

Independence Blue

 SELECT FORMULARY Tier 4 Value Formulary - Skin & Mucous Membrane Agents

Independence Blue

 SELECT FORMULARY Tier 5 Value Formulary - Skin & Mucous Membrane Agents

United Healthcare Clinical Program Drug Step Therapy - Commercial

United

Healthcare Cancer Therapy Pathways Program

UHC MEDICARE ADVANTAGE (MEDICARE PART B) STEP THERAPY PROGRAM

UHC

Office Based Procedures vs Ambulatory Surgical Center - Site of Service