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.

ALTUVIIIO

THERAPEUTIC CLASS: Antihemophilic Products

750IU INJ

Not Covered by a 3-Tier Plan

Learn more about tiers.

Note Title

Preferred Provider

Definition

This 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 Title

Prior Authorization Required

Definition

This medication requires your doctor to obtain prior authorization from us in order to be covered through the medical 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

Other Sites

Medication Lookup

750IU INJ

Prior Authorization Forms

Important Information

Specialty Pharmacy

Alternatives to Opioids

For Federal Employee Program Members

Eligible Medicare Members

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