BCBSOK will let you, and your prescriber, know the coverage decision within 24 hours after they receive your request for an expedited review. If you have a health condition that may jeopardize your life, health or keep you from regaining function, or your current drug therapy uses a non-covered drug, you, or your prescriber, may be able to ask for an expedited review process. To request this exception, you, or your prescriber, can call the number on the back of your ID card to ask for a review. You, or your prescribing health care provider, can ask for a Drug List exception if your drug is not on the Drug List. If you're already a BCBSOK member, log in to your Blue Access for Members SM account to check your drug list and to learn more about your pharmacy benefits. View the Commonly Prescribed Maintenance Drug List (These are drugs taken regularly for an ongoing condition). Starting January 1, 2022, some changes will be made to the prescription drug benefit.
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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 BCBSOK 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 BCBSOK member ID card. Be sure to review your benefit materials for details. If you are a BCBSOK 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. Please note: Health plans may administer medical and pharmacy coverage separately for select drugs.
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This may help lower your out-of-pocket costs. Your doctor should consult the Drug List when prescribing drugs for you. Generally, if you choose a drug that is a lower tier, your out-of-pocket costs for a prescription drug will be less. These prescription drug lists have different levels of coverage, which are called “tiers”. How much you may pay out-of-pocket for prescription drugs is determined by whether your medication is on the Drug List. These drugs are considered to be safe and cost-effective. A prescription drug list is a list of drugs available to Blue Cross and Blue Shield of Oklahoma (BCBSOK) members.