Prescription Drug Benefits

Visit your secure member account to see prescription drug benefits, check costs or start home delivery.

Find a pharmacy in your network

Notices

Drug warning

The Federal Drug Administration has removed the antacid, Zantac, and its generic version, ranitidine, from the market because of impurities that can cause cancer. Both the prescription strength and over the counter products are affected. If you have this drug in your home, stop taking it immediately and contact your provider or pharmacist to find a safer drug you can take instead.

New quantity limits

As a result of the COVID-19 health emergency, nongovernment individual and group product formularies are revised until further notice to apply quantity level limits to new prescriptions for chloroquine, hydroxychloroquine, and azithromycin.

Drug Lists

If you have:

Group Coverage From Your Employer or PersonalBlue PPO
Drug Formulary
 2020 Formulary (Advantage) 
2020 Formulary (Elite) 
2020 Formulary (Exclusive) 
2020 Formulary (Value) 
2020 Formulary (Value Plus) 
2020 CHIP Formulary
Formulary Updates

Advantage Formulary

Advantage & Value Plus Formulary Update
Prior Authorization, Enhanced Prior Authorization (Step Therapy), Quantity Level Limits, and Specialty Medication Lists

Guide to Prescription Drug Benefits 
2020 Quantity Level Limits List
PPACA Preventive Services

Some preventive medications may be covered at no cost to you when filled at a participating pharmacy with a valid prescription.

 PPACA Preventive Medications (includes vaccine coverage)
QHDHP Preventive Drugs

(This option is available to large groups of 100+ employees and is standard for all groups of less than 100 employees.)

Check your Certificate of Coverage to see if this option applies to your QHDHP. If so, some preventive and maintenance medications will have the deductible waived, and you will be charged only a copay.

 2020 Qualified High Deductible Health Plan

If you have:

Individual Coverage From Capital BlueCross or HealthCare.gov
Drug Formulary
 2020 Formulary (Value) 
2020 CHIP Formulary
Formulary Updates

Value Formulary

Value Formulary Update
Prior Authorization, Enhanced Prior Authorization (Step Therapy), Quantity Level Limits, and Specialty Medication Lists

Guide to Prescription Drug Benefits
PPACA Preventive Services

Some preventive medications may be covered at no cost to you when filled at a participating pharmacy with a valid prescription.

 PPACA Preventive Medications 
(includes vaccine coverage)
QHDHP Preventive Drugs
 Not applicable 

Forms

Blood Glucose Meter Program
 Blood Glucose Meters
CHIP Prescription Claim

CHIP Prescription Claim Form
General Forms
 Prescription Claim Form
Mail Orders

Mail Order Form