ENROLL NOW
Back
to Top
Toggle High Contrast
Toggle Font size

List of Abbreviations

LA: Limited Access. This prescription may be available only at certain pharmacies. For more information consult your Provider Directory or call customer service at 1-866-509-5396 toll free, seven days a week from 8am to 8pm. You may reach a messaging service on weekends and holidays from April 1 through September 30. Please leave a message, and your call will be returned the next business day. TTY users should call 711.

NDS: Non-Extended Days’ Supply. This drug can only be obtained for a one-month supply or less. You cannot fill a prescription for more than a one-month supply.

NM: Non-Mail Order. The prescription cannot be filled by a BayCare Health Plans network mail order pharmacy.

PA: Prior Authorization. BayCare Health Plans requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from BayCare Health Plans before you fill your prescriptions. If you don’t get approval, the plan may not cover the drug.

PA BvD: Prior Authorization for Part B vs Part D Determination. This prescription drug has a Part B versus D administrative prior authorization requirement. You (or your physician) are required to get prior authorization from BayCare Health Plans to determine that this drug is covered under Medicare Part D before you fill your prescription for this drug. Without prior approval, the plan may not cover this drug.

PA-HRM: Prior Authorization, High Risk Medications. This prescription drug has been deemed by CMS to be potentially harmful and therefore, a High-Risk Medication for Medicare beneficiaries 65 years of age or older. Members age 65 years or older are required to get prior approval from BayCare Health Plans before filling prescriptions for this drug. Without prior approval, the plan may not cover this drug.

NSO: Prior Authorization, New Starts Only. If you are a new member or if you have not taken this drug before, you or your physician are required to get prior authorization from BayCare Health Plans before you fill your prescription for this drug. Without prior approval, the plan may not cover this drug.

QL: Quantity Limit. For certain drugs, BayCare Health Plans limits the amount of the drug that the plan will cover. For example, BayCare Health Plans provides eighteen tablets per prescription for sumatriptan succinate. This may be in addition to a standard one-month or three-month supply.

ST: Step Therapy. In some cases, BayCare Health Plans requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, BayCare Health Plans may not cover Drug B unless you try Drug A first. If Drug A does not work for you, the plan will then cover Drug B.

Ready to learn more about a BayCarePlus (HMO) plan?

BayCarePlus Request a Kit
Request an
information kit

Download your FREE Medicare Advantage info kit or request a copy by mail.

Request Your Kit
BayCarePlus Attend a Meeting CTA
Attend a
free seminar

Learn more about BayCarePlus plans at a FREE live seminar or webinar.

Sign Up for a Seminar
BayCarePlus Request an In Person Meeting
Schedule a
personal consultation

Get your questions answered in a virtual or in-person appointment with a BayCarePlus advisor.

Schedule a Consultation
BayCarePlus Call CTA
Talk to a
licensed advisor

Discuss your options with a licensed Medicare advisor.

Call (877) 549-1741 (TTY: 711)