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Medicaid & CHP Providers

Pharmacy information and tools


BlueCross BlueShield of Western New York will administer pharmacy benefits for enrolled members. IngenioRx* is the pharmacy benefits manager.

* IngenioRx, Inc. is an independent company providing pharmacy benefit management services and some utilization review services on behalf of BlueCross BlueShield of Western New York.

Medicaid

Please refer to the Preferred Drug List (PDL) when prescribing for our members. This guide does not contain a complete list of drugs; rather, it lists the preferred drugs within the most commonly prescribed therapeutic categories.

Though most medications on the PDL are covered without prior authorization, a few agents will require you to contact our Pharmacy Department for authorization. We also cover some commonly prescribed over-the-counter (OTC) medications. Please refer to our  OTC List when prescribing these medications for our members.

Prior authorizations by phone:


You can reach our Pharmacy department at 1-866-231-0847 between 8:00 a.m. and 7:00 p.m. Eastern time Monday through Friday and 10:00 a.m. to 2:00 p.m. Eastern time on Saturday.

Phone:

1-866-231-0847

Prior authorizations by fax:

You can also fax your request to our Pharmacy department:

Retail prior authorization:

1-844-490-4877

Medical Injectables:

1-844-493-9206

Hot Tips:

Pharmacy Hot Tips are brief messages to help answer questions and/or concerns you may have around a variety of pharmacy topics. Topics include preferred formulary products used to treat common diseases and conditions such as asthma and diabetes.

Provider tools and resources

Interested in becoming a provider in the BlueCross BlueShield network?

We look forward to working with you to provide quality service for our members.