WebTotal Number of Formulary Drugs: 3,461 drugs: Browse the Blue Shield Inspire (HMO) Formulary: This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. Formulary Drug Details: Tier 1: Tier 2: Tier 3: Tier 4: Tier 5 • Preferred Pharmacy Cost-Sharing during initial coverage phase: $0.00: $3.00: $35.00: $95.00: 33% • Number of ... WebThough most medications on the PDL are covered without prior authorization, a few agents require you to contact the Pharmacy department for authorization. You may reach the Pharmacy department at 1-844-396-2330 from 8 a.m. to 7 p.m. from Monday through Friday and 10 a.m. to 2 p.m. on Saturday.
2024 Blue Shield Inspire (HMO) in CA Plan Benefits Details
WebBlue Shield Inspire (HMO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered. Part D Premium Reduction The Low-Income … WebMonthly $38 plan premium. Access to in-network and out-of-network providers. $0 copayment for oral exams & routine cleanings (once every 6 months) $0 copayment for routine eye exam (once every 12 months) $70 eyewear and $105 contact lens allowance (once every 24 months) 2024 Plan documents. Summary of Benefits. johnnys towing and recovery wallace nc
2024 Blue Shield Inspire (HMO) in Sacramento, California
WebBlue Shield Inspire (HMO D- SNP) 2024 Form ulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT TH E DRUGS WE COVER IN T HIS PLAN. Formu lary ID 22444, Version 5 Th is formu lary was updated on 07/29/2024 . For more re cent informati on or other questions, WebBlue Shield Inspire (HMO D- SNP) 2024 Form ulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT TH E DRUGS WE … WebTotal Number of Formulary Drugs: 3,106 drugs: Browse the Blue Shield Inspire (PPO) Formulary: This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. Formulary Drug Details: Tier 1: Tier 2: Tier 3: Tier 4: Tier 5 • Preferred Pharmacy Cost-Sharing during initial coverage phase: $0.00: $15.00: $40.00: $95.00: 25% • Number ... how to get snowballs in dreamlight valley