Healthy Blue Formulary
The medications included in the Healthy Blue formulary are reviewed and approved by the Pharmacy and Therapeutics Committee, which includes Practitioners
and Pharmacists from the Provider community.
select a drug from the list below to see all coverage details regarding the
medication. Some medications listed may have additional
requirements or limitations of coverage. These requirements and limits may
include prior authorization, quantity limits, age limits, step therapy or Center for Medicare and Medicaid Services (CMS) coverage requirements.
not listed on the formulary are considered to be non-formulary and are subject
to prior authorization.
Additionally, if a medication is available as a
generic formulation, this will be Healthy Blue’s preferred
agent, unless otherwise noted. If you have any questions about coverage of a
certain product, please contact us at 1-866-757-8286.
BlueChoice® HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association. BlueChoice® HealthPlan has contracted with Amerigroup Partnership Plan, LLC, an independent company, for services to support administration of Healthy Connections.
To report fraud, call our confidential Fraud Hotline at 1-877-725-2702. You may also call the South Carolina Department of Health and Human Services Fraud Hotline at 1-888-364-3224 or email email@example.com.
Machine Readable Data for Prescription Drug
Formulary: Healthy Blue Machine Readable File