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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.
2022 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 Sept. 1, 2021) that moved to a higher payment tier or are no longer covered starting Jan. 1, 2022. The left column lists drug(s) that moved to a non-preferred brand status or are no longer covered.
Please call us at 1-877-217-7986 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 1-877-217-7986 to talk to a Customer Advocate.
Under the Prior Authorization Program, your doctor has to get approval from Blue Cross and Blue Shield 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.
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 1-877-217-7986 to talk to a Customer Advocate.
Certain medications have special rules for coverage which may include: