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Drug Lists: The prescription drugs your plan covers

Which formulary/drug list applies to your plan?

  • If you have Individual (Single or Family) or Small Group coverage, you will find your plan’s drug list or “formulary” printed on your member ID card.
  • If you have coverage through your work, you can ask your employer directly.
  • You can also call the Customer Support number printed on your ID card.

One or more Benefit/Program Drug Lists may also apply to your plan

  • If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here.
  • If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.

Formulary/Drug Lists

All of the drug lists in this section include our Searchable Tool functionality

Select Drug Lists

These drug lists apply to you:

  • If you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange)
  • If you purchased coverage off the exchange and not through your employer
  • If your coverage is through a Small Group employer on, and in some cases, off the exchange

Contact the Customer Service number on your member ID card if you need assistance.

National Drug Lists

These lists may be for you if you get your health insurance plan from an employer or if you have certain grandfathered plans. Contact the Customer Service number on your member ID card if you need assistance.

Essential Drug Lists

This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Anthem Blue Cross and Blue Shield’s Essential Drug List. Or contact the Customer Service number on your member ID card if you need assistance.

Preferred Drug Lists

This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Anthem Blue Cross and Blue Shield’s Preferred drug list. Or contact the Customer Service number on your member ID card if you need assistance.

Generic Premium Drug Lists

This list includes common generic versions of well-known brand-name drugs and some select brand-name ones.

Getting another drug added to these lists

If you are prescribed a drug that is not listed on your plan’s drug list, you may need to pay more for it because it is not covered. You or your doctor can also fill out an Online Formulary Addition Request form to ask for an exception.

Benefit/Program Drug Lists

One or more Benefit/Program Drug Lists may also apply to your plan

  • If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here.
  • If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.

PreventiveRx Drug Lists

One of these lists may apply to you if your plan includes the PreventiveRx benefit (members can receive certain preventive drugs at low or no cost). Check with your employer or contact the Customer Service number on your member ID card if you need assistance.

If you have the National formulary/drug list, one of these PreventiveRx drug lists may apply to you:

GenericSelect Drug List

This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.

Half Tablet Drug List

This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.

Exclusive Specialty Drug List

This list includes specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. However, this applies only if you have a specialty pharmacy network included in your benefit.

Specialty Pharmacy Network Lists

If you’re taking a medicine that’s on our Exclusive Specialty drug list, you may need to get your prescription filled at a specialty pharmacy in order for your drug to be covered under your pharmacy benefit. If you use a pharmacy that is not in the network, your medicine may not be covered and you may have to pay the full cost.

How we choose the drugs on these lists

An independent group of practicing doctors, pharmacists and other health-care professionals meet often to look at new and existing drugs. They choose drugs for these lists based on a number of factors including how well they work, value to patients and safety. All drugs on these lists are approved by the Food and Drug Administration (FDA). View the latest updates from this committee .

More resources that may help you

Some of the links on this page can only be viewed using Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader, you can download a free copy by clicking HERE .

©2005 - 2014 copyright of Anthem Insurance Companies, Inc. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin.

Drug Lists: The prescription drugs your plan covers

If you have Blue Cross and Blue Shield of Georgia coverage you may need to find out if a drug you or your family needs is covered. While each plan may differ slightly, the lists below will tell you the medicines that are covered by your plan. You can search or print your drug list from the options below. Plus, you have access to up-to-date coverage information in your drug list, including – details about brands and generics, dosage/strength options, and information about prior authorization of your drug.

Which formulary/drug list applies to your plan?

  • If you have Individual (Single or Family) or Small Group coverage, you will find your plan’s drug list or “formulary” printed on your member ID card.
  • If you have coverage through your work, you can ask your employer directly.
  • You can also call the Customer Support number printed on your ID card.

One or more Benefit/Program Drug Lists may also apply to your plan

  • If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here.
  • If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.

Formulary/Drug Lists

All of the drug lists in this section include our Searchable Tool functionality

Select Drug List

This drug list applies to you:

  • If you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange)
  • If you purchased coverage off the exchange and not through your employer
  • If your coverage is through a Small Group employer on, and in some cases, off the exchange

Contact the Customer Service number on your member ID card if you need assistance.

National Drug Lists

These lists may be for you if you get your health insurance plan from an employer or if you have certain grandfathered plans. Contact the Customer Service number on your member ID card if you need assistance.

Essential Drug Lists

This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Blue Cross and Blue Shield of Georgia’s Essential Drug List. Or contact the Customer Service number on your member ID card if you need assistance.

Preferred Drug Lists

This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Blue Cross Blue Shield of Georgia's Preferred drug list. Or contact the Customer Service number on your member ID card if you need assistance.

Generic Premium Drug List

This list includes common generic versions of well-known brand-name drugs and some select brand-name ones.

Getting another drug added to these lists

If you are prescribed a drug that is not listed on your plan’s drug list, you may need to pay more for it because it is not covered. You or your doctor can also fill out an Online Formulary Addition Request form to ask for an exception.

Benefit/Program Drug Lists

One or more Benefit/Program Drug Lists may also apply to your plan

  • If your plan includes a benefit such as PreventiveRx or Exclusive Specialty, you will find your plan’s applicable drug lists here.
  • If you’re not sure whether these lists apply to your plan, check with your employer or call the Customer Support number printed on your ID card.

PreventiveRx Drug Lists

One of these lists may apply to you if your plan includes the PreventiveRx benefit (members can receive certain preventive drugs at low or no cost). Check with your employer or contact the Customer Service number on your member ID card if you need assistance.

If you have the National formulary/drug list, one of these PreventiveRx drug lists may apply to you:

GenericSelect Drug List

This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.

Half Tablet Drug List

This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.

Exclusive Specialty Drug List

This list includes specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. However, this applies only if you have a specialty pharmacy network included in your benefit.

Specialty Pharmacy Network List

If you’re taking a medicine that’s on our Exclusive Specialty drug list, you may need to get your prescription filled at a specialty pharmacy in order for your drug to be covered under your pharmacy benefit. If you use a pharmacy that is not in the network, your medicine may not be covered and you may have to pay the full cost.

How we choose the drugs on these lists

An independent group of practicing doctors, pharmacists and other health-care professionals meet often to look at new and existing drugs. They choose drugs for these lists based on a number of factors including how well they work, value to patients and safety. All drugs on these lists are approved by the Food and Drug Administration (FDA). View the latest updates from this committee .

More resources that may help you

Some of the links on this page can only be viewed using Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader, you can download a free copy by clicking HERE .

©2014 2014 copyright of Anthem Insurance Companies, Inc. Serving Georgia. Independent licensee of the Blue Cross Blue Shield Association.

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