![]() To request this exception, you, your prescriber, or your authorized representative, can call the number on the back of your ID card to ask for a review. You, your prescribing health care provider, or your authorized representative, can ask for a Drug List exception if your drug is not on (or is being removed from) the Drug List, or the drug required as part of step therapy or dispensing limits has been found to be (or likely to be) not right for you or does not work as well in treating your condition. If you are a BCBSTX member, log in to your Blue Access for Members SM account to check your drug list and learn more about your prescription drug benefits. Starting January 1, 2023, some changes will be made to the prescription drug benefit. $0 HDHP-HSA Preventive Drug List (This applies only for the Blue Advantage Plus Bronze SM 501 plan).View your drug list effective January 1, 2023: Type in the word or phrase you are looking for and click on Search. To search for a drug name within the PDF Drug List document, use the Control and F keys on your keyboard, or go to Edit in the drop-down menu and select Find/Search. Your prescription drug benefits through BCBSTX are based on a Drug List, which is a list of drugs considered to be safe and cost-effective. Your plan is a "metallic" health plan, which can include a Gold, Silver, Bronze or Catastrophic plan.You enrolled in a plan on your own (instead of through your employer), and.The drug lists below are used with your health plan if: If you have any questions about your prescription drug benefits, call the number listed on your member ID card. Be sure to review your benefit materials for details. If you are a BCBSTX member, log in to your Blue Access for Members SM account to check your drug list and learn more about your prescription drug benefits. If you are taking or prescribed a drug that is not on your plan's Drug List, call the number on your member ID card to see if the drug may be covered by your medical plan. Examples of these drugs are contraceptive implants and chemo infusion. These drugs are often given to you in a hospital, doctor's office or health care setting. These can include drugs that must be given to you by a health care provider. Some drugs are covered under your medical plan instead of your pharmacy benefits. Health plans may administer medical and pharmacy coverage separately for select drugs.Based on your benefits, if you use a drug manufacturer’s coupon or copay card to pay for a covered prescription drug, this amount may not apply to your plan deductible or out-of-pocket maximum.This may help lower your out-of-pocket costs. Your doctor should consult the Drug List when prescribing drugs for you. These prescription drug lists have different levels of coverage, which are called "tiers." Generally, how much you pay out of pocket for a prescription drug will be less if you choose a drug that is a lower tier. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the list. A drug list is a list of drugs available to Blue Cross and Blue Shield of Texas (BCBSTX) members.
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