The drug lists, also known as a formulary, below are used with your health plan if all of these apply to you:
- You enrolled in a plan on your own (instead of through your employer) and
- Your plan is a "metallic" health plan, which can include a Platinum, Gold, Silver, Bronze, Multi-State or Catastrophic plan.
Your prescription drug benefits through BCBSIL may be based on one of two different drug lists:
- A Standard Drug List is a list of preferred drugs which are considered to be safe and cost-effective.
- A Generics Plus Drug List is a smaller version of the Standard Drug List. It covers drugs for the major drug classes, but includes mostly generic drugs and fewer brand-name drugs.
These prescription drug lists have different levels of coverage, which are called "tiers." Generally, how much you pay out of pocket for a prescription drug will be less if you choose a drug that is a lower tier.
These drug lists are effective January 1, 2015:
These drugs lists were effective January 1, 2014 (Coverage ends December 31, 2014, with the exception of a plan with an off-cycle 2015 renewal date. Check your benefit materials for details.):
Want to know which drug list (formulary) your Marketplace plan uses? Check the charts below.