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The Healthcare Online Resource (THOR)

THOR Benefits

The Healthcare Online Resource (THOR) is an easy-to-use online resource that allows registered providers to check a patient's claims status, benefits plan, healthcare network and more.

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Pharmacy Resources

Blue Cross Blue Shield of Wyoming relies on our providers to help control the cost of healthcare as it relates to the use of prescription medications. This page is designed to help providers find all of the resources needed to ensure that our members, your patients, are receiving the highest quality pharmaceutical care in the most effective and cost efficient manner possible.

Medical Policies

The medical policies are developed under guidance of the Internal Medical Policy Committee. The Committee is composed of Blue Cross Blue Shield of Wyoming clinical and coding staff with medical policy accountability. This Committee provides a formal internal review for consensus, awareness and implementation throughout the company.

Formularies

Specialty Drug List

Coverage of all medications on the Specialty Pharmacy Management Drug list first requires preauthorization from BCBSWY medical review.

Specialty Pharmacy Drug Management List

Preauthorization Forms and Policies

For a list of services that require Pre-certification (preauthorization) click here.

In addition to all Specialty Pharmacy, some medications from our Standard and BlueSelect Formularies require preauthorization. If a medication requires preauthorization, there will be a column indicator on the Prescription Drug List. Preauthorization for medications in the formularies may be completed using the Standard Precertification form below.

Standard Pre-certification Form

Specialty Prescription Referral Form

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