Essential 4-Tier Drug List
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. To view a PDF version of this, or any/all of our drug lists/formularies, click here.
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). We cover contraceptives for members enrolled in a California plan according to state regulations.
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 customer service number on your ID card.
Most plans include our home delivery program at no extra cost to you. Find out more by going online to anthem.com or by calling the phone number for your health plan listed here.
To our providers: Click here to initiate an electronic prior authorization (ePA) request.