Bcbs Tier Exception Form - To submit request electronically, please go to covermymeds.com using plan/pbm. (incomplete form may delay processing) please return completed form to: Web formulary tier exception member request form. Web tier exception request form. Web prescription drug tier exception. All fields below must be completed to begin processing the tier exception request. If our drug list contains alternative drug (s) for treating your medical condition that are in a lower. Web you and your doctor can submit an exception request for drug coverage. To submit request electronically, please go to.
If our drug list contains alternative drug (s) for treating your medical condition that are in a lower. All fields below must be completed to begin processing the tier exception request. Web formulary tier exception member request form. Web tier exception request form. (incomplete form may delay processing) please return completed form to: To submit request electronically, please go to covermymeds.com using plan/pbm. Web you and your doctor can submit an exception request for drug coverage. Web prescription drug tier exception. To submit request electronically, please go to.