If you are an individual plan member, follow these easy steps to learn whether our Medicare Advantage plans cover your Medicare Part D prescription medications. In some cases, retail drugs and supplies are covered under your Part B of Original Medicare medical benefit (e.g. lancets, test strips). By law, certain types of drugs or categories of drugs are not covered under Medicare Part D.
If your eligible Medicare Part D medication is not on the list, you may ask us to cover that medication by requesting a formulary exception. Visit the
To see a complete list of drugs within our formulary,A formulary is a list of covered drugs selected by our Medicare Advantage plans in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Our Medicare Advantage plans will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at our Medicare Advantage network pharmacy, and other plan rules are followed. view the documents below:
2013 Medicare HMO Blue ValueRx/PlusRx Formulary
2013 Medicare PPO Blue ValueRx/PlusRx Formulary
For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. This ensures that our members use these drugs in a safe way. Visit the
The formulary was last updated on: 11/2013. The formulary may change during the year.
There are two ways to search. You may enter at least the first three letters of your medication name or select the Therapeutic class from the drop down list and then click the "Search" button. Please note that Therapeutic Class is an optional field.