Forms/lists
Blood Glucose Meter Program |
Blood glucose meters | |
CHIP prescription claim |
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General forms |
Prescription claim form | |
Mail orders |
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To address the ongoing shortage of certain drugs used to treat attention deficit/ hyperactivity disorder (ADD/ADHD), Capital is temporarily expanding the covered drugs for these disorders.
Questions about your prescription drug benefits?
- Visit your secure account to see prescription drug benefits, check costs or start home delivery.
- To confirm your plan's formulary, you can contact your employer, check your Benefits Booklet (Certificate of Coverage), or call Member Services using the number on the back of your ID card.
- A PDF version of the formularies is available upon request by calling the Member Services phone number on the back of your ID card.
- Find a pharmacy in your network
Formulary (drug list)
1Capital Blue Cross is providing information about Mark Cuban Cost Plus Drug Company as a service to our members and the community in furtherance of Capital's mission and purpose. Capital does not in any manner endorse, assume responsibility for, or recommend the use of any drug or pharmacy described by Mark Cuban Cost Plus Drug Company. Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley.
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