Highmark delaware formulary

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The formulary is designed to assist in maintaining the quality of patient care and containing cost for the patient's drug benefit plan. Products are removed from the formulary twice a year, typically January 1st and July 1st after a minimum of 30 days notification is given to providers.

Physicians are requested to prescribe medications included in the formulary whenever possible. Our Medical and Pharmacy Affairs department will monitor provider-specific formulary prescribing and communicate with providers to encourage use of formulary products. The drug formulary is divided into major therapeutic categories for ease of use.

Products that are approved for more than one therapeutic indication may be included in more than one category. Drugs are listed by brand and generic names. Most dosage forms and strengths of a drug are included in the formulary. Suggestions or comments on the formulary are encouraged. Your input will help us to maintain a high quality listing. Please submit comments to Clinical Pharmacy Services.

Clinical Pharmacy Strategies Highmark Inc. Health care providers who have questions about the formulary and its use can contact: Pharmacy Service Center option 2.

Contact Us. The drug formulary is then divided into major therapeutic categories for easy use. Products that are approved for more than one therapeutic indication may be included in more than one category. Drugs are listed by brand and generic names. Most dosage forms and strengths of a drug are included in the formulary. View the Formulary. Home delivery service is an option that groups may select depending on their benefit design. Members may call the Member Services telephone number on their identification card to find out if they have home delivery coverage.

Advantages of Using the Mail Order Service Mail order is an option that the majority of groups select. This service enables members to obtain up to a day supply of either generic or brand name drugs, for the specific mail order cost-share that the group has selected. Members enjoy the convenience of convenience and potential cost savings. How to Assist Members in Using the Mail Order Service If a member must begin taking a new maintenance drug immediately, they may need to have two prescriptions.

The member can have one of the prescriptions filled at a local pharmacy to begin taking the medication immediately. It is recommended that this prescription be written for a two-week supply. The member can send the other prescription to the mail order service for up to a day supply.

Once a member places an order, the member's information remains on file. Any subsequent refills do not require an order form. For refills, the member can call the toll-free number, send in the refill form with the applicable co-payment, or visit the Highmark Blue Cross Blue Shield Delaware web site.

Contact Us. Provider Directory. Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Quick Links: Manuals. Highmark Provider Manual.

Health Options Provider Manual. Medical Policy Medical Policy. Medical Policies.