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Find out what medications are covered and where you can get your prescriptions filled to maximize your benefits.
Choosing drugs from this list may save you money.
2024 drug list for current members: Performance Drug List
View the Performance Drug List to check if your medicine(s) are covered. Review a list of drugs (as of Oct. 1, 2023) that moved to a higher payment tier or are no longer covered starting Jan. 1, 2024. The left column lists drug(s) that moved to a non-preferred brand status or are no longer covered.
Please call us at 1-877-325-2996 to verify prescription coverage. If you do not see your medication on the list, check with your doctor for a therapeutic alternative that might be right for you.
Preventive Drug Lists
* Note that some drugs may be excluded from the drug list and some drugs may move to a higher payment level. The drugs that move to a higher payment level may still be covered but you will pay more. Drugs that are excluded will not be covered under your pharmacy benefit. Your plan may have a different coverage level for specialty drugs. If you have questions about your coverage for specialty medications or your prescription drug benefit, call 1-877-325-2996 to talk to a Customer Advocate.
MedsYourWay® is a program that works with your BCBSIL pharmacy benefit to automatically search for and find lower costs for your eligible medicines. All you need is your ID Card.
How it Works
When you have your prescription filled at a participating, in-network retail pharmacy, simply show your ID Card to the pharmacist. MedsYourWay automatically compares the prices from participating drug discount cards against your cost share under your pharmacy benefit plan for eligible prescriptions.
The comparisons are done behind the scenes at the pharmacy. You will pay the lower available price and what you pay will apply to your yearly plan deductibles and/or out-of-pocket maximums.
MedsYourWay is not insurance. It is a drug discount card program that compares the drug discount card price for an eligible medication at participating pharmacies to the member’s benefit plan cost share amount and then applies the lower available price. Eligible medications are subject to change, prescription prices may vary by location and not all retail pharmacies participate. MedsYourWay is administered by Prime Therapeutics, LLC, which administers the pharmacy benefit management services for your plan.
MyBlueRxIL is a personalized pharmacy app to make it easy to understand and manage prescription drugs and out-of-pocket costs for yourself and your family.
How it works
This app puts your prescription drug information in your hands with features that allow you to:
Download the free app from the App Store or Google Play. Use your Blue Access for MembersSM log in or create an account using your member ID number to get started. Dependents age 18 and older can download the app and create their own account.
Under the Prior Authorization Program, your doctor has to get approval from Blue Cross and Blue Shield of Illinois (BCBSIL) before your prescription drug plan will cover certain medications and drug categories.
The Step Therapy Program encourages safe, cost-effective medication use by requiring you to have a prescription history for a "first-line" medication before your benefit plan will cover a "second-line" drug.
Check to see if any special requirements apply for your medication.
If you are a current member and have recently gone through the Step Therapy Program, you do not have to complete it again.
To use your prescription drug benefits:
Log in to Blue Access for MembersSM to find the prescription drug forms that specifically apply to your coverage under the "Forms and Documents" tab. If you need help finding a pharmacy or forms, call 1-877-325-2996 to talk to a Customer Advocate.
Certain medications have special rules for coverage which may include: