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Three-Tier Blue Selections Rx Member Guide Understanding Your Searchable Prescription Drug Program
Blue Cross and Blue Shield of Louisiana and our subsidiary, HMO Louisiana, Inc., along with Express Scripts, an independent company that serves as our pharmacy benefit manager, created this Searchable Blue Selections Rx Member Guide to help you understand your drug benefits. Because drug benefits can be complex, understanding your benefits is key to getting the most from your health plan.

Throughout the year, our clinical staff works with our Pharmacy and Therapeutics Committee, a group of Louisiana doctors and pharmacists who are not employed by Blue Cross, to review published literature about the safety, efficacy and cost of prescription drugs.

You and your doctor always make the final decision for your healthcare needs. The information in this Searchable Guide can help you and your doctor make informed decisions before you fill your next prescription. That way, together you may choose the best drug for you while keeping your costs down. Please talk to your doctor or pharmacist about any questions or concerns you may have about your drug therapy.

• If you must first try one or more prescription drugs before your plan will cover a specific drug for your condition
• If your doctor must get prior authorization before your plan will pay for a drug
• If your plan limits the quantity that will be covered each time you fill a prescription

Important Notes:

• This Searchable Guide includes most drugs that your plan covers as of the date the Searchable Guide was created. This Searchable Guide may change as changes occur in the marketplace.
• This Searchable Guide may not apply to all benefit plans. Some benefit plans may have different coverage for specific drugs.
• The Searchable Guide applies only to prescription drugs that network pharmacies dispense on an outpatient basis.
• Read your member contract or certificate for pharmacy coverage for any exclusions and limitations that apply.
  

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