Key terms Here are some terms and notes you’ll find on the drug list. Brand name drugs are in UPPER CASE, bold type. Generic drugs are in lower case, plain type. $0 = preventive drugs. For some members, this product may be covered at 100% with $0 cost share with a prescription from your provider if specified criteria are met. AL = age limits. Some drugs require a prior authorization if your age does not meet drug manufacturer, Food and Drug Administration (FDA), or clinical recommendations. BE = benefit exclusion. This drug may not be covered depending on your plans design. To find out if your drug is covered, log into your member portal or use the Sydney app to Price a Medication and refer to your plan documents. DO = dose optimization. Usually, this means you may have to switch from taking a drug twice a day to taking it once a day at a higher strength. LD = limited distribution. These drugs are available only through certain pharmacies or wholesalers, depending on what the manufacturer decides. PA = prior authorization. You may need to get benefits approved before certain prescriptions can be filled. QL = quantity limits. There are limits on the amount of medicine covered within a certain amount of time. SP = specialty drugs. Specialty drugs are used to treat difficult, long-term conditions. You may need to get this drug through a specialty pharmacy. ST = step therapy. You may need to use another recommended drug first before a prescribed drug is covered. A note about opioid analgesics: In response to the opioid epidemic, the U.S. Food and Drug Administration (FDA) encouraged the development of painkillers that prevent misuse. You may pay less for these types of opioids in certain states. Drug(s) may be excluded from the list based on your plan's benefit design. Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. 55726MUMENABS Online Pharmacy Resources Find your closest network pharmacy, get the most up-to-date coverage information on your drug list including details about pricing your medication, brands and generics, dosage/strength options, and much more — when you log in at anthem.com.

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