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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.

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

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 
January 2020 Value Medications 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
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