Employers with more than 50 full-time employees can choose the prescription drug coverage that goes with the health plans they provide. However, not all HMO and PPO plans share the same drug list, or formulary.
To see if a medication is covered, you'll need to know whether your Blue Cross plan uses Preferred, Clinical, Custom or Custom Select Drug Lists. You can find out by checking your prescription drug benefits by logging into your online account. From there, you'll be able to find out what's covered, how much a medication will cost and compare brand-name prescriptions with generics.
If you can't find your drug list, call the customer service number on the back of your member ID card for help.
These lists are for members with plans that use the Preferred Drug List.
These lists are for members with plans that use the Clinical Drug List.
These documents list drugs covered by your plan if your plan uses the Custom Drug List. These drug lists are updated monthly.
These drug lists are updated monthly.
The following preventive care drug lists apply to select high-deductible health plans (HDHPs). If your plan has one of these lists, then you don’t have to meet a deductible before these drugs are covered and you only pay your applicable copay/coinsurance or nothing at all.
These are the documents you may need to answer any questions you have about specific prescription medications or their limits and restrictions.