Pharmacy Services 2024

Medical and pharmacy coverage is integrated with Anthem Blue Cross and Blue Shield.  Anthem provides your pharmacy coverage with the support of their pharmacy benefit manager, CarelonRx. Enrollment in a group health insurance plan through Anthem automatically enrolls you in pharmacy coverage. 

For details on prescription copay amounts visit the Pharmacy Drug Coverage page of the employee benefits guide.  For information on $0 cost preventive medications and the  Affordable Care Act (ACA) list for all plans visit: Preventive Rx Enhanced and ACA Preventive Care Drug Lists    . 

• Login at Anthem.com to get all of your personalized pharmacy benefits information (such as comparing drug costs, check your claims history and review your copay, deductible or coinsurance amounts). You can search by medication name using the searchable formulary tool to confirm a prescription drug is covered under your benefit plan and to identify the drug copay tier and any applicable restrictions.  Searchable formulary tool instructions.
• Common Medications on the National Direct Drug List
• Medication Alternatives List  
• Rx Home Delivery  CarelonRx Mail Order form is available if you wish to use Home Delivery.

Additional information

• 2-minute video: How to Price a Medication via Anthem.com
• 2-minute video: How to Price a Medication via Sydney Health mobile app

For Pharmacy questions call Pharmacy Member Services directly at:  833-988-2033 or visit the Anthem Pharmacy website or call the Anthem Health Guides at: 833-988-2030