the employer connection

Anthem Drug List/Formulary

Click here to access the Wellpoint (Anthem) Drug List/Formulary

 

Pharmacy Plan Principal Limitations and Exclusions

  • Any drug not required for the treatment or prevention of illness or injury
  • Allergenic extracts
  • Devices and artificial appliances
  • Prescriptions dispensed in a hospital or skilled nursing facility
  • Drugs for use in connection with drug addiction
  • Drugs which may be purchased without a prescription (non-legend drugs)
  • Antibacterial soaps/detergents, shampoos, toothpaste/gels and mouthwash/rinses
  • Oral contraceptives
  • Medical drugs used for the treatment of sexual dysfunction
  • Needles and syringes not prescribed for the administration of a covered drug