Medication Lookup

The results below have been sorted using a 2-tier plan. For the most accurate search results, check your plan details and choose another tier plan from the drop-down menu near the search bar.

EXONDYS 51

THERAPEUTIC CLASS: Multiple Sclerosis Agents

100MG/2ML VIAL

100MG/2ML VIAL

Covered by a 3-Tier Plan as a Tier 3 Medication

Learn more about tiers.

Note Title

Prior Authorization Required

Definition

This medication requires your doctor to obtain prior authorization from us in order to be covered through the pharmacy benefit.
Note Title

Not Covered By Blue Cross for Medicare Supplemental members

Definition

Medicare Supplemental Plan Members: Since this medication is covered by Medicare as a medical benefit, it is excluded from your pharmacy coverage. You will need to verify coverage from Medicare directly.

500MG/10ML VIAL

500MG/10ML VIAL

Covered by a 3-Tier Plan as a Tier 3 Medication

Learn more about tiers.

Note Title

Prior Authorization Required

Definition

This medication requires your doctor to obtain prior authorization from us in order to be covered through the pharmacy benefit.
Note Title

Not Covered By Blue Cross for Medicare Supplemental members

Definition

Medicare Supplemental Plan Members: Since this medication is covered by Medicare as a medical benefit, it is excluded from your pharmacy coverage. You will need to verify coverage from Medicare directly.

Covered Alternative Medications