Your search will provide you with a description of your medication, tier, limits/restrictions, and additional information regarding the drug.
The amount you pay—your copayment level—is determined by the tier structure indicated on your ID card.
To determine if your plan design includes BlueValue Rx, please refer to your identification card and look for the BlueValue Rx logo. If your plan design includes the Standard Pharmacy Program Formulary, please select the Standard Pharmacy Program Formulary tab below.
View the list of Standard Pharmacy Program Formulary non-covered medications, effective January 1, 2010.