Resources
Resources
CODING & DOCUMENTATION
EDUCATION & EVENTS
ENROLLMENT & CREDENTIALING
FORMS & MANUALS
HEALTHCARE INFORMATION & TECHNOLOGY
PATIENT HEALTH
PHARMACY
POLICIES & GUIDELINES
PRE-SERVICE REVIEW
PROGRAMS & INITIATIVES
PROVIDER NETWORKS & SPECIALTIES
Pharmacy Medicare Resources
The pharmacy resources listed below apply to the Blue Advantage® and BlueRx℠ programs. For
additional information about the Blue Advantage Primary Care Incentive Program, see our incentive program webpage.
Blue Advantage Part B Provider-Administered Drug List - View a list of provider-administered drugs that may require precertification.
Blue Advantage Part B Provider-Administered Drug Precertification Program - Precertification is required on Part B provider-administered drugs for your Blue Advantage patients.
Blue Advantage Medication Delivery Services - Contacts for Providers: View contact information for dose packaging services and home delivery/mail order pharmacies.
Blue Advantage Plan Overview: Review plan options, benefit information, and policies of the Blue Advantage (PPO), a Medicare Advantage plan.
BlueRx Plan Overview: Review plan options, benefit information and policies of the BlueRx (PDP) Medicare-approved Part D prescription drug plan.
Medicare Prescription Payment Plan: This payment option helps patients manage out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January-December).
Statin Reference Guide - Blue Advantage: Use this guide as a quick reference for the Statin Therapy for Patients with Cardiovascular Disease (SPC) and Statin Use in Persons with Diabetes (SUPD) quality measures for your Blue Advantage patients.
Important 2024 Blue Advantage and BlueRx Formulary Updates: Review these important formulary updates to consider for your patients.
Quick Reference Guides:
- Controlling Blood Pressure Reference Guide
- Hypertension Reference Guide
- Insulin Quick Reference Guide
- Non-Insulin Diabetic Medications Quick Reference Guide
- Part D Drug Coverage Determinations and Appeals Quick Reference Guide
- Statins Quick Reference Guide
- Statin Myths Quick Reference Guide
- Type II Diabetes Quick Reference Guide
Plan-Specific Forms:
The following links will take you directly to important forms specific to your patient’s plan.
- Blue Advantage Complete
- Blue Advantage Premier
- BlueRx Enhanced
- BlueRx Enhanced Plus
- BlueRx Essential
Blue Advantage PPO is provided by Blue Cross and Blue Shield of Alabama, an independent licensee of the Blue Cross and Blue Shield Association.
BlueRx PDP is provided by Blue Cross and Blue Shield of Alabama, an independent licensee of the Blue Cross and Blue Shield Association.