Make the most of Anthem’s pharmacy information by searching your plan’s drug list, find a pharmacy and learn about medication costs.
Want information about a particular medication? Search or download the most up-to-date drug list for your plan.
Anthem’s clinical criteria gives providers the necessary data to prescribe the most effective medications for their patients.
Find a pharmacy, including 90-day prescription services.
Anthem's drug alerts offer a wealth of content explaining how individual drugs impact health and healthcare.
Learn more about the drugs covered under your plan, medication costs and more.
The Sydney Health app makes it easy to log in to your account, look up your plan’s drug list and check medication costs.
The drug list, also called a formulary, is a list of prescription medicines your plan covers. It includes hundreds of brand-name and generic drugs approved by the U.S. Food & Drug Administration (FDA).
The drugs are listed in alphabetical order based on the name of their drug class, also called therapeutic class. You can search the PDF drug list by typing in the name of the drug you’re looking for.
The Notes column will tell you if you need preapproval before you can take the drug (called prior authorization or PA), or if you need to try other drugs first for your treatment (called step therapy or ST).
Your plan’s network includes over 67,000 pharmacies nationwide, with two levels of coverage:
Home Delivery
If there are medications you take regularly, you can save time and money with our home delivery service. CarelonRx Pharmacy will deliver up to 90-day supplies with free standard shipping.
Specialty Pharmacy
If you have a health condition that requires specialty medicine, such as those you take by injection or infusion, or that need special handling, you will need to order through CarelonRx Specialty Pharmacy. You may also choose other in-network specialty pharmacies.
To view a list of covered specialty drugs that require a network specialty pharmacy, please visit our Drug List, and select the Exclusive Specialty Drug List.
Yes, this is a complete listing of all the drugs on the drug list. But it’s possible a drug(s) on this list may not be covered, depending on your plan’s design. Your coverage has limitations and exclusions, which means there are certain conditions that determine what’s covered by your plan and what isn’t.
To find out more, read your Certificate/Evidence of Coverage or your Summary Plan Description, which you got when you signed up for your plan.
Anthem offers specific pharmacy information for our members, employers, brokers, and providers. If you need more from us,
Not connected with or endorsed by the U.S. Government or the federal Medicare program.
The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or insurance company.
This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, please contact your agent or the health plan.
Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711).
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711).
注意：如 果您使用非英語的其他語言，您可以免費獲得語言援助服務。請致電聯絡客戶服務部（聽語 障用戶請致電：711）。
