Highmark Blue Cross Blue Shield Coverage for

18 Plans

Commercial - HMO

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

Commercial - Employer

$$$$$
Preferred
PA requirements
Quantity Limit

Commercial - PPO

$$$$$
Preferred
PA requirements
Quantity Limit

Health Exchange - PPO-HIX

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

Medicare - MA-PD

$$$$$
Preferred
PA requirements
Quantity Limit

Medicare - PDP

$$$$$
Not covered

Managed Medicaid - HMO - Medicaid

$$$$$
Non-preferred
PA requirements

Medicare - MA-PD

$$$$$
Not covered

Commercial - HMO

$$$$$
Non-preferred

Commercial - PPO

$$$$$
Not covered

Commercial - Employer

$$$$$
Non-preferred

Health Exchange - PPO-HIX

$$$$$
Not covered

Commercial - HMO

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

Commercial - Employer

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

Commercial - PPO

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

Health Exchange - PPO-HIX

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

Medicare - MA-PD

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

Managed Medicaid - HMO - Medicaid

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