Highmark Blue Cross Blue Shield Coverage for

15 Plans

Commercial - HMO

$$$$$
Non-preferred
PA requirements
Step therapies
Quantity Limit

Commercial - Employer

$$$$$
Non-preferred
PA requirements
Step therapies
Quantity Limit

Commercial - PPO

$$$$$
Non-preferred
PA requirements
Step therapies

Health Exchange - PPO-HIX

$$$$$
Non-preferred
PA requirements
Step therapies
Quantity Limit

Medicare - MA-PD

$$$$$
Preferred
Quantity Limit

Medicare - PDP

$$$$$
Specialty
PA requirements
Step therapies
Quantity Limit

Managed Medicaid - HMO - Medicaid

$$$$$
Non-preferred
PA requirements
Step therapies
Quantity Limit

Commercial - HMO

$$$$$
Non-preferred
PA requirements
Step therapies

Commercial - Employer

$$$$$
Not covered

Commercial - PPO

$$$$$
Not covered

Health Exchange - PPO-HIX

$$$$$
Not covered

Medicare - MA-PD

$$$$$
Non-preferred
PA requirements
Step therapies

Medicare - PDP

$$$$$
Non-preferred
PA requirements
Step therapies

Managed Medicaid - HMO - Medicaid

$$$$$
Non-preferred
PA requirements

Medicare - MA-PD

$$$$$
Preferred
PA requirements
Step therapies
Quantity Limit