Find a Drug
2012
Drugs on the 2012 formulary can be found in the formularies attached below, AND are listed in the table below.
2012 Blue Medicare Rx Standard
2012 Blue Medicare Rx Enhanced
2012 Blue Medicare HMO Standard
2012 Blue Medicare HMO Enhanced
To search for a generic or brand name drug, select the first letter of the drug from letters above the chart below. The index will display all the drugs beginning with that letter in alphabetical order, so that you can scan the list for your drug.
Table Legend
'Tier' refers to the level of coverage for each medication. The tier levels are the following:
| 1 | Tier 1 medications are generic medications and have the lowest copayment. |
| 2 | Tier 2 medications are non-preferred generic medications and have the second-lowest copayment. |
| 3 | Tier 3 medications are preferred brand name medications and have the third-lowest copayment. |
| 4 | Tier 4 medications are non-preferred brand name medications and have the second-highest copayment. |
| 5 | Tier 5 medications are medications classified by BCBSNC as specialty drugs. Tier 5 medications are typically prescribed by a specialist, have unique uses, and may require special dosing and administration. Tier 5 medications generally cost more than other drugs, and members must pay a coinsurance amount for them. |
Prior Authorization and Quantity Limitations
For drugs noted as requiring prior authorization, information may need to be submitted describing the use and setting of the drug to make the determination.
For drugs noted as requiring step therapy, members are required to first try certain drugs to treat their medical condition before we will cover another drug for that condition.
Quantity limitations encourage the appropriate use and dose of prescribed medication based on the U.S. Food and Drug Administration (FDA) approved labeling and other medical literature. To receive a quantity of medication that exceeds the limit, the member must meet certain criteria.
The Drug Search information listed below refers to the 2012 formulary.
To view PDF documents you need Adobe Acrobat Reader.
BCBSNC is a Medicare Advantage organization with a Medicare contract. BCBSNC is a Medicare-approved Part D sponsor. BCBSNC does not discriminate based on race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability or geographic location within the service area. All BCBSNC items and services are available to all eligible beneficiaries in the service area. Limitations, copayments, and restrictions may apply. You must be entitled to Medicare Part A and enrolled in Medicare Part B and must reside in CMS-approved service area. You must continue to pay your Medicare Part B premium.
If you would like Medicare Advantage or Part D documents in a different language or format, or your coverage has ended and you need proof of coverage or a Certification of Health Insurance Coverage, you can call us 7 days a week, 8 a.m. to 8 p.m.
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The information on this page is current as of 05/01/2012.
Y0079_5736 CMS Approved 04302012
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