2008 Drug Formulary

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A formulary is a preferred list of drugs selected to meet member needs. It covers both generic and brand-name drugs.
 

Medicare Plus Blue and Prescription Blue plans include prescription drug coverage. These plans will generally cover drugs listed in our formulary as long as:

• The drug is medically necessary
• The prescription is filled at a network retail or mail-order pharmacy
• All other plan rules are followed (e.g., prior authorization and step therapy for select drugs)

Please note, the list of covered drugs are identical in both of the formularies. The formulary documents provide a brief description of the plans' benefits, including any deductibles. The formulary is updated monthly.
 

For more information on how to fill your prescriptions, please refer to your Evidence of Coverage. You can also visit Mail Order Pharmacy Service to learn more about filling prescriptions by mail.
 

You may request the Drug Formulary for Medicare Plus Blue and Prescription Blue plans in alternative formats by calling 1-800-485-4415, from 8 a.m. to 8 p.m., seven days a week. TTY users, call 1-800-481-8704.
 

• 2008 Comprehensive Drug Formulary for Medicare Plus Blue and Prescription Blue
  (1MB - PDF)
• 2008 Drug Formulary Changes for Medicare Plus Blue and Prescription Blue
  (410K - PDF)
• Prior Authorization / Step Therapy Program (67K - PDF)