Web Content Viewer - Metadata
Web Content Viewer - Fixed Context
Breadcrumb DnD
Web Content Viewer
Your Pharmacy
Benefits
Web Content Viewer - Fixed Context
You can view and download pharmacy information for your 2021 plan through December 31, 2021.
Web Content Viewer - Fixed Context
Find a Doctor or Pharmacy
Search for a doctor or pharmacy in your health plan network.
You will need the name of your current health plan found on your ID card.(example: BlueJourney PPO)
Web Content Viewer - Fixed Context
Drug Formulary List/Compare Drug Prices
Compare the cost of your drugs at participating pharmacies.
To access pricing, login to your secure member account.
Search the Ideal Formulary for drugs included in the BlueJourney Essential, Value, and Premier HMO plans, and the BlueJourney Prime and Classic PPO individual benefit plans.
- Download a Ideal Formulary listing. (updated 1/2021)
- Ideal Formulary Prior Authorization Criteria
- Ideal Formulary Step Therapy Criteria
Search the Value Formulary for drugs included in the BlueJourney PPO and BlueJourney HMO group benefit plans, as well as BlueJourney Select Individual PPO plan.
- Download a Value Formulary listing. (updated 1/2021)
- Value Formulary Prior Authorization Criteria
- Value Formulary Step Therapy Criteria
Web Content Viewer - Fixed Context
Prescription Drug Management/Assistance
Help with Drug Costs - See if you qualify for help paying for your prescription drugs.
Out of Network Pharmacy Information - How to get reimbursed for prescriptions filled at an out-of-network pharmacy.
General Transition Notice - Explanation of the transition process of your current drugs when you switch to a different health plan.
Medication Therapy Management - A free educational program to help control long-term conditions for members who have multiple chronic diseases.
Drug Utilization Management - If required, this process will ensure you are getting the proper drugs for your diagnosed condition.
Vaccine Finder - Are you having a difficult time finding where you can get a flu shot or the shingles vaccine? Use the Vaccine Finder to search your specific areas for what pharmacies have certain vaccines available now!
Web Content Viewer - Fixed Context
Prescription Drug Request Forms
Medicare Coverage Determination Form - Use this form when your doctor or pharmacist tells you a prescribed drug will not be covered by your plan.
Mail Order Drug Form - Use to order your prescriptions by mail.
Pharmacy Reimbursement Form - To request reimbursement for a drug purchased at an out-of-network pharmacy.
Web Content Viewer - Fixed Context
Web Content Viewer - Fixed Context
Web Content Viewer - Fixed Context
Updated October 1, 2020
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