- Home
- Provider Central Home
- Lookup a Medication
- Search Results
- Medication Details
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.
1000AHFU SOLR
-
Note TitlePreferred ProviderDefinitionThis medication is not covered through the pharmacy benefit. It is covered under your home infusion benefit, which is part of your medical coverage. Caremark is the preferred home infusion therapy provider for this medication. You can call them at 1-800-237-2767.
-
Note TitlePrior Authorization RequiredDefinitionThis medication requires your doctor to obtain prior authorization from us in order to be covered through the medical benefit.
-
Note TitleNot Covered By Blue Cross for Medicare Supplemental membersDefinitionMedicare 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.
250AHFU SOLR
-
Note TitlePreferred ProviderDefinitionThis medication is not covered through the pharmacy benefit. It is covered under your home infusion benefit, which is part of your medical coverage. Caremark is the preferred home infusion therapy provider for this medication. You can call them at 1-800-237-2767.
-
Note TitlePrior Authorization RequiredDefinitionThis medication requires your doctor to obtain prior authorization from us in order to be covered through the medical benefit.
-
Note TitleNot Covered By Blue Cross for Medicare Supplemental membersDefinitionMedicare 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.
500AHFU SOLR
-
Note TitlePreferred ProviderDefinitionThis medication is not covered through the pharmacy benefit. It is covered under your home infusion benefit, which is part of your medical coverage. Caremark is the preferred home infusion therapy provider for this medication. You can call them at 1-800-237-2767.
-
Note TitlePrior Authorization RequiredDefinitionThis medication requires your doctor to obtain prior authorization from us in order to be covered through the medical benefit.
-
Note TitleNot Covered By Blue Cross for Medicare Supplemental membersDefinitionMedicare 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.
3000AHFU SOLR
-
Note TitlePreferred ProviderDefinitionThis medication is not covered through the pharmacy benefit. It is covered under your home infusion benefit, which is part of your medical coverage. Caremark is the preferred home infusion therapy provider for this medication. You can call them at 1-800-237-2767.
-
Note TitlePrior Authorization RequiredDefinitionThis medication requires your doctor to obtain prior authorization from us in order to be covered through the medical benefit.
-
Note TitleNot Covered By Blue Cross for Medicare Supplemental membersDefinitionMedicare 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.
Prior Authorization Forms
Massachusetts Standard Form for Hepatitis-C Medication Prior Authorization Requests
Massachusetts Standard Form for Medication Prior Authorization Requests
Massachusetts Standard Form for Synagis® Medication Prior Authorization Requests
Important Information
Affordable Care Act (ACA) Medication List
Medical Benefit Prior Authorization Medication List
Over-the-Counter Exclusion Medication List
Quality Care Dosing Guidelines
Learn About Your Pharmacy Program
Learn About Your Pharmacy Program
Affordable Care Act (ACA) Medication List
Cost-Share Assistance Program Medication List
Health Savings Account (HSA) Preventive Medication List
Lower-Cost, Brand-Name Insulins Medication List
Medical Benefit Prior Authorization Medication List
No-Cost Generic Medications List
Over-the-Counter Exclusion Medication List
Specialty Pharmacy
Specialty Pharmacy Medication List
5-Tier Specialty Pharmacy Medication List
6-Tier Specialty Pharmacy Medication List