Independence Blue Cross Coverage for
12 Plans
12 Plans
Commercial - PPO
$$$$$Preferred
PA requirements
Step therapies
Commercial - Employer
$$$$$Preferred
PA requirements
Step therapies
Commercial - POS
$$$$$Preferred
PA requirements
Step therapies
Medicare - MA-PD
$$$$$Specialty
PA requirements
Step therapies
Medicare - PDP
$$$$$Specialty
PA requirements
Step therapies
Health Exchange - PPO-HIX
$$$$$Specialty
PA requirements
Step therapies
Health Exchange - HMO-HIX
$$$$$Specialty
PA requirements
Step therapies
Managed Medicaid - HMO - Medicaid
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Managed Medicaid - HMO - Medicaid
$$$$$Non-preferred
PA requirements
Quantity Limit
Commercial - PPO
$$$$$Specialty
PA requirements
Step therapies
Commercial - Employer
$$$$$Preferred
PA requirements
Quantity Limit
Commercial - POS
$$$$$Specialty
PA requirements
Step therapies