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

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

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)
Formulary Updates

Selectively Closed 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
General Forms
Prescription Claim Form
Mail Orders

Mail Order Form