Formulary Change Notices
Below is a list of changes that have occurred in the List of Covered Drugs (Formulary) since March 1, 2009. Information includes: drugs added or removed from the plan’s formulary; the addition of quality limits, step therapy or other restrictions on a drug; and moving a drug to a higher cost sharing tier.
Medicare Products
BlueAdvantage PFFS with Prescription Drug Coverage
Additional Information
A health plan with a Medicare contract.
H5884/H4979/H7917/S1030_W09_R4
<Pending CMS Approval>
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