1-800-303-0656
(TTY/TDD: 711) 8 a.m. - 8 p.m.*
(TTY/TDD: 711) 8 a.m. - 8 p.m.*
The Ask IBX tool does not have a direct connection to a real "live" representative, but instead accesses a database of commonly/frequently asked questions.
A comprehensive formulary is the entire list of drugs covered by the Part D Plan. The IBC Drug Formulary is a list of FDA-approved drugs we cover for our Keystone 65 HMO, Personal Choice 65 PPO, and Select Option PDP Medicare plans. Our Pharmacy and Therapeutics Committee has carefully chosen these drugs for their medical effectiveness and value.
We may periodically add or remove covered drugs, change coverage limitations on certain drugs, or change how much you pay for a drug.
Search the IBC Drug Formulary alphabetically by drug name. You can also check the formulary for drugs recently added to or removed from the formulary. You can contact us for the most recent list of drugs.
See Coverage Determination for Part D Drugs, Part D Appeals, and Part D Grievances to learn how to obtain an exception to the plan’s formulary. This is not a complete list of all formulary alternatives covered by the Part D sponsor for the drug you have selected.
For Utilization Management tool information please visit our Quality Assurance page. For Tiered Cost-Sharing information please visit our Prior Authorization page.
Independence Blue Cross contracts with FutureScripts® Secure to provide Medicare Part D prescription benefit management services, and one of the largest pharmacy networks — with more than 65,000 pharmacies.
The Network Includes:
Independence has contracts with pharmacies that meet or exceed Centers for Medicare & Medicaid Services (CMS) requirements for pharmacy access in your area.
In order to receive benefits through the plan, prescriptions generally must be filled at a network pharmacy.
To locate or confirm that a pharmacy is currently in our network:
Download a 2016 Keystone 65 Focus HMO Pharmacy DirectoryDownload a 2016 Keystone 65 Select HMO Pharmacy DirectoryDownload a 2016 Keystone 65 Preferred HMO Pharmacy DirectoryDownload a 2016 Personal Choice 65 PPO Pharmacy DirectoryDownload a 2016 Select Option® PDP Pharmacy DirectoryIf you are already a member, call the Member Help Team at the number printed on the back of your ID card, seven days a week, 8 a.m. to 8 p.m. However, please be aware that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail.
If you are not yet a member, call us at 1-877-393-6733 (711 for the speech- and hearing-impaired), seven days a week, 8 a.m. to 8 p.m. However, please be aware that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail.
Covered Part D drugs are available at out-of-network pharmacies in special circumstances, including illness while traveling outside of the plan’s service area where there is no network pharmacy. We may cover your prescription at an out-of-network pharmacy for up to a 30-day supply if at least one of the following applies:
You may have to pay more than your normal cost-sharing amount, and will likely have to pay the pharmacy’s full charge for the drug and submit documentation to receive reimbursement. We will consider your request and make a coverage decision. If we decide that the drug is covered and you followed all the rules for getting the drug, we will pay for our share of the cost.
We cannot pay for any prescriptions that are filled by pharmacies outside the United States, even for a medical emergency.
When you go to a network pharmacy, your claim is automatically submitted to us by the pharmacy. However, if you go to an out-of-network pharmacy for one of the reasons listed above, the pharmacy may not be able to submit the claim directly to us. When that happens, you will have to pay the full cost of your prescription. When you return home, simply submit a claim form and your receipt. Please note that we can only reimburse up to our allowed amount.
Please call Customer Service for more information on paper claims or to request a form.
To request a reimbursement, please use the Direct Member Reimbursement Form.
Y0041_HNS_14_15002 Approved 12/23/2013
To request a reimbursement specifically for a vaccine and/or a vaccine administration fee, please use the Vaccine and Administration Direct Member Reimbursement Form
Y0041_HNS_14_27760 Approved 12/23/2014
Note that this form is for Part D vaccines only and should not be used for Part B vaccines such as the flu shot.
For the Influenza Vaccine Reimbursement Form, please see the Claim Reimbursement Forms section.
You may elect to receive prescription drugs to your home through our network mail order delivery program. Our plan’s mail-order service allows you to order up to a 90-day supply.
To get order forms and information about filling your prescriptions by mail please call FutureScripts Secure at 1-888-678-7015 (TTY/TDD: 711), 7 days a week, 24 hours a day. If you use a mail-order pharmacy that is not in the plan’s network, your prescription will not be covered.
Usually a mail-order pharmacy order will get to you in no more than 14 days. If you should not receive your prescription drugs, please call FutureScripts Secure at 1-888-678-7015, 7 days a week, 24 hours a day. Or, you can visit our website at www.ibxmedicare.com.
Website last updated: 7/1/2016
Y0041_HM_16_32116g Approved 1/4/2016