Section 5(f)(a). FEP Medicare Prescription Drug Plan

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2025 PSHB FEP Blue Focus brochure

Cover Page and Inside Cover

Table of Contents

Introduction/Plain Language/Advisory

5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals

5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals

5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services

5(d). Emergency Services/Accidents

5(e). Mental Health and Substance Use Disorder Benefits

5(f). Prescription Drug Benefits

5(f)(a). FEP Medicare Prescription Drug Plan

5(g). Dental Benefits

5(h). Wellness and Other Special Features

5(i). Services, Drugs, and Supplies Provided Overseas

Non-PSHB Benefits Available to Plan Members

Summary of Benefits – Standard Option

Summary of Benefits – Basic Option

2025 Rate Information

Blue Cross and Blue Shield Service Benefit Plan Brochure - 2025

PSHB Standard and Basic Options

Section 5(f)(a). FEP Medicare Prescription Drug Plan

Section 5(f)(a). MPDP Overview

MPDP There are important features you should be aware of

MPDP Who can write your prescriptions

MPDP Where you can obtain prescription drugs

MPDP We use a managed formulary

MPDP These are the dispensing limitations

MPDP Prior Approval

MPDP Generic equivalents

MPDP How to obtain your prescription drugs and supplies

MPDP Medical Foods

MPDP When you do have to file a claim

MPDP Disclosure of information

MPDP Important Contact Information

MPDP Catastrophic Maximums

MPDP Retail Pharmacies

MPDP Mail Service Prescription Drug Program

MPDP Asthma Medications

MPDP Other Preferred Diabetic Medications, Test Strips, and Supplies

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