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Providers Policies & Guidelines Prescription Drugs View Our Formularies

View Our Formularies

The cost of prescription drugs varies widely, even for medications that are used to treat the same condition. Our medication guide was developed to help you and your patients select lower cost options that are just as effective, saving them money.

Your patients will save the most money with Tier 1 and Tier 2 medications.

Preview Upcoming Changes to Formularies

  • 3-Tier Formulary - Recent ChangesOpen a PDF
  • Medicare Part D Formulary UpdatesOpen a PDF
  • HMO Blue Option/Blue Choice Option, Blue Option Plus Formulary - Recent ChangesOpen a PDF
  • Child Health Plus Formulary - Recent ChangesOpen a PDF
  • SimplyBlue Plus Bronze, Silver, Gold or Platinum
    Direct Pay Metal Plans: Base, Bronze, Silver, Gold or Platinum and Essential Plan and College Blue Plan, or Simply Blue Plus Formulary – Recent ChangesOpen a PDF

View or Print Our Formularies

  • 3-Tier FormularyOpen a PDF
  • HMO Blue Option/ Blue Choice Option Formulary - Medicaid Managed CareOpen a PDF
  • Blue Option Plus FormularyOpen a PDF
  • Medicare 5-Tier FormularyOpen a PDF
  • Direct Pay Metal Plans: Base, Bronze, Silver, Gold or Platinum and Essential Plan and College Blue Plan, or Simply Blue Plus FormularyOpen a PDF
  • Child Health Plus FormularyOpen a PDF
  • Preferred Value FormularyOpen a PDF
  • National Preferred Formulary (NPF)Open a PDF

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