Anthem National Drug List 3-Tier
Search by medication name for up-to-date drug information, including the benefit tier your drugs are on, as well as applicable clinical edits such as prior authorization or step therapy requirements.
Your coverage has limitations and exclusions, which means that some drugs on this list may not be covered, depending on your plan’s design. To find out more, please refer to your Certificate/Evidence of Coverage or your Summary Plan Description.
Preventive care drugs: We cover preventive care drugs with zero cost share in compliance with the Affordable Care Act (ACA).
Member cost share amounts for certain abuse-deterrent opioid analgesics may be lower in the state Maine due to state laws. For additional information, please call the Pharmacy Member Services number on your ID card.
Most plans include our home delivery program at no extra cost to you. Find out more by calling the Pharmacy Member Services number on the back of your ID card or by logging into your secure member portal.
For Members:
Click here to search Anthem’s Drug Formulary List: https://client.formularynavigator.com/Search.aspx?siteCode=7759044093
To our providers: Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. Creating an account is free, easy and helps patients get their medications sooner. You can complete the process through your current electronic health record/electronic medical record (EHR/EMR) system or by using one of these ePA sites:
This drug search tool will be updated at least quarterly.