Prescription Drug Benefits

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

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)
Formulary Updates	Advantage Formulary 2020 Opioid Updates Advantage & Value Plus Formulary Update January 1, 2020 Updates
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)
Formulary Updates	Selectively Closed Formulary 2020 Opioid Updates Value Formulary Update January 1, 2020 Updates
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