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Quarterly Pharmacy Formulary Change Notice Effective February 1, 2019

January 04, 2019

The formulary changes listed in the table below were reviewed and approved at the third quarter Pharmacy and Therapeutics Committee meeting.

What this means to you:

  • Effective Feb. 1, 2019 preferred formulary changes will apply.
  • Effective Feb. 1, 2019 nonpreferred and prior authorization requirements will apply.
  • This update applies to Healthy Blue members.

View the full bulletin to see the Quarterly Pharmacy Formulary Change Notice table.

What action do I need to take?

Please review these changes and work with your Healthy Blue members to transition them to formulary alternatives. If you determine preferred formulary alternatives are not clinically appropriate for specific members, you will need to obtain prior authorization to continue coverage beyond the applicable effective date.

What if I need assistance?

We recognize the unique aspects of members’ cases. If for medical reasons your Healthy Blue member cannot be converted to a formulary alternative, call our Pharmacy department at 866-902-1689 and follow the voice prompts for pharmacy prior authorization.

You can find the Preferred Drug List on our website at www.HealthyBlueSC.com > Providers. If you need assistance with any other item, contact Provider Services at 866-757-8286.

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