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2022 Rx Value Comprehensive Formulary

2022 Comprehensive Formulary Jan. 1, 2022 Dec. 31, 2022 888-645-6025 | TTY 711 Seven Days a Week, 8 to 8 (October 1 to March 31) Monday-Friday, 8 to 8 (All Other Times) (PDP) 12783M-2022 November 2022 BlueCross Rx Value 2022 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 00022341, Version Number 22 This Formulary was updated on 11/15/2022 (effective 12/01/2022). For more recent information or other questions, please contact BlueCross Rx Value at 1-888-645-6025, or, for TTY users 711, 8 to 8 , Eastern Time, Monday through Friday. Our automated telephone system handles calls received after 8 and on Saturdays, Sundays and holidays.

2022 Comprehensive Formulary . Jan. 1, 2022 – Dec. 31, 2022 . 888-645-6025 | TTY 711. Seven Days a Week, 8 A.M. to 8 P.M. (October 1 to March 31) Monday-Friday, 8 A ...

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