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2020 Drug List (Formulary) Search

This online drug search tool is designed to make it easy for you to find out if your prescription medications are covered as part of your Premera Blue Cross Medicare Advantage plan. Use this search tool if you are either enrolled in (or interested in enrolling in) one of the following health plans: Premera Blue Cross Medicare Advantage (HMO), Premera Blue Cross Medicare Advantage Core (HMO), Premera Blue Cross Medicare Advantage Core Plus (HMO), Premera Blue Cross Medicare Advantage Classic (HMO), Premera Blue Cross Medicare Advantage Classic Plus (HMO), Premera Blue Cross Medicare Advantage Total Health (HMO), Premera Blue Cross Medicare Advantage Charter + Rx (HMO), Premera Blue Cross Medicare Advantage Peak + Rx (HMO), Premera Blue Cross Medicare Advantage Sound + Rx (HMO).

 


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Formulary last updated: 12/01/2020

Premera Blue Cross is an Independent Licensee of the Blue Cross Blue Shield Association. Premera Blue Cross is an HMO plan with a Medicare contract. Enrollment in Premera Blue Cross depends on contract renewal. This information is not a complete description of benefits. Call 888-868-7767 (TTY/TDD: 711) 7 days a week, 8 a.m. to 8 p.m. for more information. To join a Premera Blue Cross Medicare Advantage Plan, you must have Medicare Part A and Part B and live in the Premera Blue Cross Medicare Advantage service area (Island, King, Pierce, Lewis, San Juan, Skagit, Snohomish, Spokane, Stevens, Thurston, Walla Walla and Whatcom counties in Washington). Members must select a Primary Care Provider (PCP) from the Premera Blue Cross Medicare Advantage Plans provider network. For accommodation of persons with special needs at sales meetings, call 888-868-7767 (TTY/TDD: 711) 7 days a week, 8 a.m. to 8 p.m. To request a copy of the Premera Blue Cross Medicare Advantage Evidence of Coverage, Formulary, or Provider and Pharmacy Directory, please call 888-850-8526 (TTY/TDD: 711) Monday – Friday, 8 a.m. to 8 p.m. (7 days a week, 8 a.m. to 8 p.m., October 1 – March 31). Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2020, and from time to time during the year.

Premera Blue Cross complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Language support

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