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Starting January 1, 2020, some prescription drugs:
If you’d like to see if your medication is impacted1, you can review 2020 prescription drug list changes.
If you see a mark in the additional requirements columns, here's what they mean:
Your health plan’s prescription drug list has many levels of coverage, called payment level tiers. Your pharmacy benefit has up to 6 payment level tiers.
Most often, the lower the tier, the lower your out-of-pocket costs will be for the drug.
Each tier has a different cost. You could be paying more – or less – for your drug based on the 2020 tier.
Here are some commonly used drugs that are no longer covered as of January 1, 20202 and covered alternatives.
Generic | Brand | Specialty | |
---|---|---|---|
METAXALONE | AURYXIA | REXULTI | COPAXONE |
MUPIROCIN CREAM | CHLORZOXAZONE | SENSIPAR | OMNITROPE |
CIALIS | SOOLANTRA | XELJANZ XR | |
COLCHICINE | SUBOXONE | ||
COLCRYS | TRADJENTA | ||
FINACEA | TROKENDI XR | ||
MINIVELLE | ULORIC | ||
RANEXA |
Here’s your 2020 drug list (for coverage that renews or starts on or after January 1, 2020).
Please note:
If you use a drug manufacturer’s coupon or copay card to pay for a covered prescription drug, this amount will not apply to your plan deductible or out-of-pocket maximum (unless it is a permitted third-party cost sharing payment).
Talk with your doctor about:
Your doctor or pharmacist can answer questions or concerns you may have about your prescribed medications. Pharmacy selections and your care are always between you and your doctor.
Send us a question or request more information. Our team is here to help you get a 2020 health care plan for yourself or family.
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Sales Questions and Additional Plan Information:
1-800-531-4456
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Saturday: 8:00 a.m. – 6:00 p.m. CT
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Customer Service:
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Calls may or may not be answered inside the United States.
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Saturday: 8 a.m. – 5 p.m. CT
Sunday: Closed
Already a member?
Call the Customer Service number on the back of your member ID card.
1 Coverage is based on the terms and limits of your plan. For some drugs, you must meet certain criteria before prescription drug coverage may be approved.
2 Commonly used drugs that are no longer covered may not apply to all strengths/formulations. Third-party brand names are the property of their respective owners. Drugs that have not received U.S. Food and Drug Administration (FDA) approval are not covered.