Medication Lookup

This medication requires your doctor to obtain prior authorization from us in order to be covered through the pharmacy benefit.

This medication is not available through the mail service pharmacy

This medication will only be covered through the pharmacy benefit when purchased through a specialty pharmacy that participates in our network. It's not available through outpatient medical coverage, except when administered in a dialysis center, at a surgical day care facility, in an ambulatory surgery center, or through a home infusion therapy provider. To find a specialty pharmacy, visit Specialty Network Pharmacy Contact Information in the Specialty Pharmacy section.

This medication will only be only covered through the pharmacy benefit. This medication is not available through the outpatient medical benefit, except when administered in a dialysis center, at a surgical day care facility, in an ambulatory surgery center, or through a home infusion therapy provider.

Medicare Supplemental Plan Members: Since this medication is covered by Medicare as a medical benefit, it is excluded from your pharmacy coverage. You will need to verify coverage from Medicare directly.

Your doctor may submit a request for an exception. If approved, the medication must still follow any applicable requirements before it can be covered by your plan. You’ll also pay the highest tier cost.

This medication requires your doctor to obtain prior authorization from us in order to be covered through the pharmacy benefit.

This medication is not available through the mail service pharmacy

This medication will only be covered through the pharmacy benefit when purchased through a specialty pharmacy that participates in our network. It's not available through outpatient medical coverage, except when administered in a dialysis center, at a surgical day care facility, in an ambulatory surgery center, or through a home infusion therapy provider. To find a specialty pharmacy, visit Specialty Network Pharmacy Contact Information in the Specialty Pharmacy section.

This medication will only be only covered through the pharmacy benefit. This medication is not available through the outpatient medical benefit, except when administered in a dialysis center, at a surgical day care facility, in an ambulatory surgery center, or through a home infusion therapy provider.

Medicare Supplemental Plan Members: Since this medication is covered by Medicare as a medical benefit, it is excluded from your pharmacy coverage. You will need to verify coverage from Medicare directly.

Your doctor may submit a request for an exception. If approved, the medication must still follow any applicable requirements before it can be covered by your plan. You’ll also pay the highest tier cost.

This medication requires your doctor to obtain prior authorization from us in order to be covered through the pharmacy benefit.

This medication is not available through the mail service pharmacy

This medication will only be covered through the pharmacy benefit when purchased through a specialty pharmacy that participates in our network. It's not available through outpatient medical coverage, except when administered in a dialysis center, at a surgical day care facility, in an ambulatory surgery center, or through a home infusion therapy provider. To find a specialty pharmacy, visit Specialty Network Pharmacy Contact Information in the Specialty Pharmacy section.

This medication will only be only covered through the pharmacy benefit. This medication is not available through the outpatient medical benefit, except when administered in a dialysis center, at a surgical day care facility, in an ambulatory surgery center, or through a home infusion therapy provider.

Medicare Supplemental Plan Members: Since this medication is covered by Medicare as a medical benefit, it is excluded from your pharmacy coverage. You will need to verify coverage from Medicare directly.

Your doctor may submit a request for an exception. If approved, the medication must still follow any applicable requirements before it can be covered by your plan. You’ll also pay the highest tier cost.