smp-benefits-logo-01-white

Benefits News Archive

Prescription Program Updates for 2018

Posted 30 Jan 2018

As a reminder we have 3 new prescription programs in place for 2018. Click on the below programs to learn more. 

Quantity Limits - For certain prescriptions, members may not exceed filling a maximum covered amount of medications (number of pills) filled in a certain time period. 

Prior Authorization - For certain prescriptions, providers will be required to obtain approval from Anthem to prescribe certain medications to ensure drugs are being appropriately used as recommended by the FDA. 

Preferred Generic - Members must purchase the generic equivalent of a brand name drug unless the doctor specifies on the prescription that the drug must be filled brand name.