Web Content Viewer - Metadata

Web Content Viewer - Fixed Context

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Web Content Viewer

Your Pharmacy

Benefits

Web Content Viewer - Fixed Context

You can view and download pharmacy information for your 2022 plan through December 31, 2022.

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, Premier HMO plans, the BlueJourney Prime and Classic PPO plans, and the Capital Blue Cross | WellSpan Advantage Plus PPO and Inspire HMO individual benefit plans.

Download a Ideal Formulary listing. (updated 10/2021)
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 and Capital Blue Cross | WellSpan Health Advantage individual PPO plan.

Download a Value Formulary listing. (updated 10/2021)
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.

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!

Drug Utilization Management - If required, this process will ensure you are getting the proper drugs for your diagnosed condition.

Part B Step Therapy - A process used to try a lesser expensive drug before going with the top brand drug.

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Medication Therapy Management (MTM)

Medication Therapy Management is a free educational program to help control long-term conditions for members who have multiple chronic diseases.

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.