Top 10 Drugs by Chemical Entity by Sponsor/Policy/Class/Division/Subdivision
Class Total Total Claims Paid Chemical Entity Drug Cost Dispensing Total Eligible Total Claims Paid % of Total Total Claim % of Total Submitted Claim Lines # Top 10 Drugs $13,277.83 $13,277.83 $8,741.25 $8,741.25 All Drugs $21,284.88 $21,284.88 $15,103.02 $15,103.02 Total Claim Lines # Chemical Entity Drug Cost Dispensing Total Eligible Total Claims Paid % of Total Total Claim % of Total Submitted Claim Lines # Top 10 Drugs $4,412.04 $4,412.04 $3,764.71 $3,764.71 All Drugs $21,284.88 $21,284.88 $15,103.02 $15,103.02
Pacific Blue Cross/BC Life is providing this claims information such that the privacy and personal information of individual members is protected in accordance with our privacy policy and applicable privacy legislation.
7KHUHSRUWDQGLWVLQIRUPDWLRQDUHWKHSURSHUW\RI3DFLILF%OXH&URVVDQGRU%&/LIH7KLVLQIRUPDWLRQLVIRUWKHSROLF\KROGHUSODQVSRQVRUތVLQWHUQDOXVHDQGWRVKDUHZLWKLWVHPSOR\HHVDQGDJHQWVWKDWKDYHDQHHGWRNQRZVXFKLQIRUPDWLRQ7KLVLQIRUPDWLRQRUDQ\SDUWPD\QRWEHFRSLHGRUGLVWULEXWHGWRDQ\RWKHUSHUVRQZLWKRXW3DFLILF%OXH&URVVDQGRU%&/LIH
VSULRUZULWWHQFRQVHQW2QO\3DFLILF%OXH&URVV%&/LIHFDQFKDQJHWKHinformation in this document. Any other modification is strictly prohibited.
™® Pacific Blue Cross, the registered trade-name of PBC Health Benefits Society, is an independent licensee of the Canadian Association of Blue Cross Plans. BC Life is the registered trade-name of British Columbia Life & Casualty Company, a wholly-owned subsidiary of Pacific Blue Cross.
Top 10 Drugs by Chemical Entity by Sponsor/Policy/Class/Division/Subdivision
Policy Total Total Claims Paid Chemical Entity Drug Cost Dispensing Total Eligible Total Claims Paid % of Total Total Claim % of Total Submitted Claim Lines # Top 10 Drugs $13,277.83 $13,277.83 $8,741.25 $8,741.25 All Drugs $21,284.88 $21,284.88 $15,103.02 $15,103.02 Total Claim Lines # Chemical Entity Drug Cost Dispensing Total Eligible Total Claims Paid % of Total Total Claim % of Total Submitted Claim Lines # Top 10 Drugs $4,412.04 $4,412.04 $3,764.71 $3,764.71 All Drugs $21,284.88 $21,284.88 $15,103.02 $15,103.02 Sponsor Total
Pacific Blue Cross/BC Life is providing this claims information such that the privacy and personal information of individual members is protected in accordance with our privacy policy and applicable privacy legislation.
7KHUHSRUWDQGLWVLQIRUPDWLRQDUHWKHSURSHUW\RI3DFLILF%OXH&URVVDQGRU%&/LIH7KLVLQIRUPDWLRQLVIRUWKHSROLF\KROGHUSODQVSRQVRUތVLQWHUQDOXVHDQGWRVKDUHZLWKLWVHPSOR\HHVDQGDJHQWVWKDWKDYHDQHHGWRNQRZVXFKLQIRUPDWLRQ7KLVLQIRUPDWLRQRUDQ\SDUWPD\QRWEHFRSLHGRUGLVWULEXWHGWRDQ\RWKHUSHUVRQZLWKRXW3DFLILF%OXH&URVVDQGRU%&/LIH
VSULRUZULWWHQFRQVHQW2QO\3DFLILF%OXH&URVV%&/LIHFDQFKDQJHWKHinformation in this document. Any other modification is strictly prohibited.
™® Pacific Blue Cross, the registered trade-name of PBC Health Benefits Society, is an independent licensee of the Canadian Association of Blue Cross Plans. BC Life is the registered trade-name of British Columbia Life & Casualty Company, a wholly-owned subsidiary of Pacific Blue Cross.
Top 10 Drugs by Chemical Entity by Sponsor/Policy/Class/Division/Subdivision
Total Claims Paid Chemical Entity Drug Cost Dispensing Total Eligible Total Claims Paid % of Total Total Claim % of Total Submitted Claim Lines # Top 10 Drugs $13,277.83 $13,277.83 $8,741.25 $8,741.25 All Drugs $21,284.88 $21,284.88 $15,103.02 $15,103.02 Total Claim Lines # Chemical Entity Drug Cost Dispensing Total Eligible Total Claims Paid % of Total Total Claim % of Total Submitted Claim Lines # Top 10 Drugs $4,412.04 $4,412.04 $3,764.71 $3,764.71 All Drugs $21,284.88 $21,284.88 $15,103.02 $15,103.02 Report Total
Pacific Blue Cross/BC Life is providing this claims information such that the privacy and personal information of individual members is protected in accordance with our privacy policy and applicable privacy legislation.
7KHUHSRUWDQGLWVLQIRUPDWLRQDUHWKHSURSHUW\RI3DFLILF%OXH&URVVDQGRU%&/LIH7KLVLQIRUPDWLRQLVIRUWKHSROLF\KROGHUSODQVSRQVRUތVLQWHUQDOXVHDQGWRVKDUHZLWKLWVHPSOR\HHVDQGDJHQWVWKDWKDYHDQHHGWRNQRZVXFKLQIRUPDWLRQ7KLVLQIRUPDWLRQRUDQ\SDUWPD\QRWEHFRSLHGRUGLVWULEXWHGWRDQ\RWKHUSHUVRQZLWKRXW3DFLILF%OXH&URVVDQGRU%&/LIH
VSULRUZULWWHQFRQVHQW2QO\3DFLILF%OXH&URVV%&/LIHFDQFKDQJHWKHinformation in this document. Any other modification is strictly prohibited.
™® Pacific Blue Cross, the registered trade-name of PBC Health Benefits Society, is an independent licensee of the Canadian Association of Blue Cross Plans. BC Life is the registered trade-name of British Columbia Life & Casualty Company, a wholly-owned subsidiary of Pacific Blue Cross.
Top 10 Drugs by Chemical Entity by Sponsor/Policy/Class/Division/Subdivision
Total Claims Paid Chemical Entity Drug Cost Dispensing Total Eligible Total Claims Paid % of Total Total Claim % of Total Submitted Claim Lines # Top 10 Drugs $13,277.83 $13,277.83 $8,741.25 $8,741.25 All Drugs $21,284.88 $21,284.88 $15,103.02 $15,103.02 Total Claim Lines # Chemical Entity Drug Cost Dispensing Total Eligible Total Claims Paid % of Total Total Claim % of Total Submitted Claim Lines # Top 10 Drugs $4,412.04 $4,412.04 $3,764.71 $3,764.71 All Drugs $21,284.88 $21,284.88 $15,103.02 $15,103.02
Pacific Blue Cross/BC Life is providing this claims information such that the privacy and personal information of individual members is protected in accordance with our privacy policy and applicable privacy legislation.
7KHUHSRUWDQGLWVLQIRUPDWLRQDUHWKHSURSHUW\RI3DFLILF%OXH&URVVDQGRU%&/LIH7KLVLQIRUPDWLRQLVIRUWKHSROLF\KROGHUSODQVSRQVRUތVLQWHUQDOXVHDQGWRVKDUHZLWKLWVHPSOR\HHVDQGDJHQWVWKDWKDYHDQHHGWRNQRZVXFKLQIRUPDWLRQ7KLVLQIRUPDWLRQRUDQ\SDUWPD\QRWEHFRSLHGRUGLVWULEXWHGWRDQ\RWKHUSHUVRQZLWKRXW3DFLILF%OXH&URVVDQGRU%&/LIH
VSULRUZULWWHQFRQVHQW2QO\3DFLILF%OXH&URVV%&/LIHFDQFKDQJHWKHinformation in this document. Any other modification is strictly prohibited.
™® Pacific Blue Cross, the registered trade-name of PBC Health Benefits Society, is an independent licensee of the Canadian Association of Blue Cross Plans. BC Life is the registered trade-name of British Columbia Life & Casualty Company, a wholly-owned subsidiary of Pacific Blue Cross.
Top 10 Drugs by Chemical Entity by Sponsor/Policy/Class/Division/Subdivision
This version of the report excludes all PBC policy information. Parameter Parameter
Sponsor/Policy/Class/Division/Subdivision
Pacific Blue Cross/BC Life is providing this claims information such that the privacy and personal information of individual members is protected in accordance with our privacy policy and applicable privacy legislation.
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VSULRUZULWWHQFRQVHQW2QO\3DFLILF%OXH&URVV%&/LIHFDQFKDQJHWKHinformation in this document. Any other modification is strictly prohibited.
™® Pacific Blue Cross, the registered trade-name of PBC Health Benefits Society, is an independent licensee of the Canadian Association of Blue Cross Plans. BC Life is the registered trade-name of British Columbia Life & Casualty Company, a wholly-owned subsidiary of Pacific Blue Cross.
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