Does horizon cover medication?

Does horizon cover medication?

Most prescription and non-prescription (over-the-counter) drugs are covered at no cost, or low cost to you, as long as your doctor orders them and they are listed on our Formulary.

What specialty pharmacy does horizon use?

Horizon BCBSNJ
To assist members who are taking a specialty pharmaceutical, Horizon BCBSNJ has contracted with pharmacies that specialize in these therapies….Specialty Pharmaceutical Pharmacy Benefit.

Participating Pharmacy Phone Number
BioTek reMEDys 1-877-246-9104
City Drugs 1-855-988-4500
CVS Caremark Specialty Pharmacy 1-800-237-2767
Factor One Source 1-844-773-6779

Does CVS accept Horizon NJ Health?

With Horizon NJ Health, you have access to a large network of doctors, nurses and pharmacists who provide an excellent level of service. You can fill your prescription(s) at one of more than 2,000 convenient pharmacy locations throughout New Jersey, including major retail pharmacies such as CVS, Walgreens and Rite Aid.

Who determines drug formulary?

A drug formulary is a list of generic and brand-name prescription drugs covered by a health plan. The health plan generally creates this list by forming a pharmacy and therapeutics committee consisting of pharmacists and physicians from various medical specialties.

What if my drug is not on the formulary?

If a medication is “non-formulary,” it means it is not included on the insurance company’s “formulary” or list of covered medications. A medication may not be on the formulary because an alternative is proven to be just as effective and safe but less costly.

Who is the pharmacy benefit manager for Horizon BCBS of NJ?

Prime Therapeutics
Our pharmacy benefits manager, Prime Therapeutics, provides a wealth of information and tools to help you get the most from your pharmacy benefits.

Does NJ Medicaid cover prescriptions?

We cover the prescription medications listed in our preferred drug list (formulary) at no extra cost to members.

Who is the PBM for Horizon BCBS of NJ?

CVS Caremark currently provides PBM services for Horizon BCBSNJ.

Does Amazon pharmacy take Horizon NJ Health?

But now members who get their pharmacy benefits through Horizon BCBSNJ have an easier way to organize their meds thanks to a pioneer in simplifying shopping. Enter PillPack by Amazon Pharmacy – a new free home delivery option for Horizon BCBSNJ members in eligible plans.

What does a formulary pharmacist do?

Formulary management. The formulary pharmacist’s other significant role is the maintenance and update of the trust formulary. The formulary pharmacist is usually involved at every stage of formulary development, from conception to publication and distribution.

Why is it important that Horizon NJ health has a formulary?

It’s important that the medicine you take is safe and effective. That’s why Horizon NJ Health has a committee made up of doctors and pharmacists who review and approve our formulary. If your doctor wants to prescribe a drug that is not included in our formulary, he or she will need to call us to get prior authorization.

How do I contact horizon NJ health for prior authorization?

Drugs that require prior authorization are noted in the Approved Drug List below. Please note that Horizon NJ Health maximum day supply limit is 30 days. If you have any questions, please call the Horizon NJ Health Pharmacy Department toll free at 1-800-682-9094 x81016 ( TT Y 711).

What OTC medicines does horizon NJ health pharmacy cover?

This includes, but not limited to, fertility agents, weight loss drugs and erectile dysfunction medicines. Members who live in a long-term care facility will usually get their OTC medicines from the facility, rather than through the Horizon NJ Health pharmacy benefit.

What is the horizon NJ health maximum day supply limit?

Please note that Horizon NJ Health maximum day supply limit is 30 days. If you have any questions, please call the Horizon NJ Health Pharmacy Department toll free at 1-800-682-9094 x81016 ( TT Y 711).

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