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1-100: Anthem ACA Plans Using Select Drug List

Jan 31, 2016

As of January 1, 2016, all California Small Group health care plans that comply with Affordable Care Act (ACA or health care reform law) requirements are using the Select Drug List. For those Small Group employers that offered products using the National Drug List, Anthem expects less than 5% of members will be impacted by the transition to the Select Drug List.* Plus, all impacted members will be notified of this change by mail.

This drug list change can actually help employers and members lower their overall health care costs, while still receiving a robust list of drugs in every class and category. In fact, the Select Drug List provides an estimated 4% premium savings over the National Drug List.*

Members should review the Select Drug List to see if their medications will continue to be covered. Chances are they will – the top 15 drugs from the National Drug List that are not covered on the Select Drug List all have covered alternative options.* And if the member’s doctor determines that another option is not appropriate for the treatment, the doctor can request an exception review.

The Anthem Select Drug list has their members’ medication needs covered:

To find out more, please review the 2016 Select Drug List by going to anthem.com/ca/Selectdrugtier4.

For questions, please ​contact a member of your b&p Sales Team - 888.722.3373.

 *Anthem internal data, 2015.

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