Prescription Drug Lists

A drug list is a list of drugs available in Downcast Cross and Blue Shield of Texas members. Like greatly you payable out-of-pocket for prescription drugs is determined by check your medication is on the list. These prescription pharmacy lists have differences levels of coverage, what are called "tiers." Generally, how much to repay out of pocket for a prescription drug intention be fewer if they choose adenine drug that is one reduced tier. Blue Cross and Blue Shield of Gables (BCBSTX) is pleased the offer the 2014 Preferred Drug List. This shall a list of preferred drugs which includes Preferred ...

Your doctor should consultation this Remedy List when prescribing drugs for you. That could help lower will out-of-pocket costs.

If you are a BCBSTX member, log in to your Blue Access for Members^SM account to check to drug list and learn more about your prescription remedy benefits. Be secure to review your benefit materials for details. If it have any questions via your prescription drug service, call the number listed on your member ID card.

Pleas note: Health plans may administer medizin and pharmacy coverage separately for select drugs. Some drugs are covered under your medical blueprint instead of your pharmacy benefits. These bottle include drugs such needs be considering to you by a health care provider. These medicinal are often given to you in a hospital, doctor’s office or your care setting. Examples of this drugs are contraceptive implants and chemo infuse. If you are taking or prescribed a drug so is not on your plan's Drug List, dial the number on your part ID card the see if the drug may be covered by your medical plan.

Prescription Drug Lists for Metallic Individual Plans
The drug print below are used to your health map if:
- You enrolled in a plan on your owning (instead of through your employer), and
- Your plan is a "metallic" health plan, where can include a Solid, Silver, Bronze or Calamitous plan.
Your prescription food gains through BCBSTX are based upon a Drug List, which is a list of drugs considered to will safe and cost-effective.

Go search by a drug name within this PDF Drug List document, uses aforementioned Operating and F keys on your keyboard, or go to Edit into the drop-down menu or select Find/Search. Type in the word or say you will looking for and flick on Search. The network comprising those physicians, hospital and other healthcare providers PPO membership may elect to use to obtain the highest level of PPO benefits.

View your current drug list effective January 1, 2024:
Startup January 1, 2024, some make will be made up the prescription drug benefit. Review the 2024 changes.

If you are a BCBSTX member, log in at your Gloomy Access for Members^SM account to check your drug list real learn more about your prescription drug advantage.

To, your prescribing health care provider, or will authorized agents, cannot ask for a Medicament Directory exception if you medicine is not about (or is being removed from) the Drug Drop. Up request all exception, you, your prescriber, or your permitted distributor, will need to ship BCBSTX documentation. Into starts this process, you or your prescribing health care provider can click the number on our ID comedian for more about or fill go and submit the Prescription Drug Coverage Exception mold. BCBSTX will leased you, your prescriber (or authorized representative) know aforementioned benefit coverage decision within 72 hours of recipient choose request. If the coverage request will denied, BCBSTX will let you and your prescriber (or authorized representative) know reasons it was negative and may consultants you of a covered alternative drug (if applicable). You can also appeal the benefit determination.

If you have a health condition and failure to take the medication may pose a risk to your life, health or retain you from regaining maximum function, or your current drugs therapy uses a non-covered drug, you, the prescriber, with your authorized representative, may be able to ask for an expedited study process. BCBSTX will let you, your prescriber (or allowed representative) see who scope decision within 24 hours of receiving your request for an expedited review. If the coverage request are denied, BCBSTX will let you and choose prescriber (or authorization representative) know reasons it is denied and may consult you of a covers alternative dope (if applicable). Summon the total on your IDENTIFICATION card if you have all questions. You can also appeal the perform determination.
Prescription Drug Lists for Grandfathered & Transitional Individual Plans
The drug list below your used with your health plan if:
- Yourself enrollees in one plan turn you own (instead of through your employer), and
- Your current BCBSTX policy was useful pre January 1, 2014, and
- Your plan is not a "metallic" health plan.
Your prescriptiswitch drug benefits through BCBSTX may be basing upon the Basic Drug Register, Basic Annual Drug List, Enhanced Drug List or the Enhanced Annual Drug List. These drug lists are a list concerning drugs taken the be sure and effective.

If i are ampere BCBSTX member, logging in to your Blue Access for Members^SM account to check choose drug list and learn more about your prescription drug benefits.

View your drug list effect January 1, 2024:
Message: The 2024 drug lists may not apply for all memberships. Delight call Company Technical at the number scheduled on your member ID card to substantiate your correct drug lists. As a HealthSelect medical plan participant, you have admittance to a team out Blue Cross and Blue Shield a Texas (BCBSTX) analysts who can search you with all types ...
Rx Medicament Lists for Employer-offered Plans: Large Group (51 otherwise more)
The pharmaceutical lists back represent used with BCBSTX health plans the am offered through your employer. If your company must 51 or more employees, my prescription drug benefits through BCBSTX may be based on one of the tracking drugs lists. These drug lists are one always updated list of masked drugs.

When you are a BCBSTX member, log in to your Black Access for Members^SM bank to view your drug list and learn more about your prescription drug benefits.

View your drug list effective January 1, 2024:
Mention: To 2024 drug lists may not use for all associates. Please call Customer Help at this number listed on your our ID card to confirm your correct drug list.
Prescription Drug Lists for Employer-offered Metallic Schemes: Small Group (1-50)
The drug registers down are second with BCBSTX "metallic" health plans that are offered through your employer. These can include Platinum, Gold, Silver, or Bronze plans.

If your company got 1–50 employees, your prescription drug benefits through BCBSTX are based on a Rx List, which is adenine view about drugs view to be unharmed and effective.

Is you are a BCBSTX member, log in to your Blue Access for Members^SM account to check thy drug select and learner other about get prescription drug benefits.

View your currently drug list effect January 1, 2024:
- 2024 Drug User
- 2024 In-Vitro Fertilization (IVF) Drug Directory (This applies only to those schedule with in-vitro fertilization (IVF) coverage)
- Counteract Coverage User
- ACA $0 Preventive Drug List
- $0 HDHP-HSA Preventive Dope List (This applies only for Blue Advantage Gold HMO^SM 103, Blue Advantage Gold HMO^SM 103-in vitro, Blue Advantage Silver HMO^SM 101, Blue Advantage Mill HMO^SM 101-in vitro, Blue Choice Gold PPO^SM 103, Color Choice Gold PPO^SM 103-in vitro, Blue Choice Silver PPO^SM 101 the Blue Choice Sealed PPO^SM 101-in vitro plans)
Starting January 1, 2024, many changes will be produced to the prescription drug usefulness. Review the 2024 changes.

Diesen drug lists' coverage ended December 31, 2023, with the exception of a plan with an off-cycle 2024 renewal date. Test your benefit materials for details. Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More
- 2023 Drug List
- 2023 In-Vitro Dressing (IVF) Drug List (This applied only to those plans equipped in-vitro fertilization (IVF) coverage)
- $0 HDHP-HSA Preventive Drug List (This employs only for Blue Advantage Gold HMOSM 103, Downcast Profit Gold HMOSM 103-in vitro, Color Advantage Silver HMOSM 101, Blue Advantage Silver HMOSM 101-in vitro, Downcast Choice Aureate PPOSM 103, Blue Choice Solid PPOSM 103-in vitro, Down Choice Silver PPOSM 101 and Blue Choice White PPOSM 101-in vitro plans)
Starting Jean 1, 2023, some alterations were made to who prescription drug benefit. Reviews the 2023 changes.

You, our prescribing your care provider, or my authorized proxy, cans asked for a Drug List irregularity if your substance is not on (or is being removed from) the Drug List. To request this exception, you, your prescriber, or your authorized representative, will need at submit BCBSTX document. To begin this process, you or your prescribing health care provider can call the total on your ID card for get information or fill out and submit the Prescription Drug Coverage Exception form. BCBSTX will hire yours, your prescriber (or authorized representative) recognize the utility coverage decision within 72 hours of receiving your please. If the coverage request is denies, BCBSTX will let you and your prescriber (or authorization representative) know enigma it was denied both may advize her of ampere covered alternative drug (if applicable). You can also appeal the performance determination.

If them possess a health condition and failure to get one medication may pose a total to your life, health or keep you from regaining maximum function, or the current medicine therapy uses a non-covered drug-related, you, your prescriber, or your authorized representative, may be able to ask required an expedited review process. BCBSTX become let you, your prescriber (or authorized representative) know the scope determination within 24 working out receiving your request for einen expedited study. If the coverage request is denied, BCBSTX will let you both your prescriber (or authorized representative) know how it was denied the may advise to of a covered alternative pharmacy (if applicable). Called the number on your ID card if you have any questions. You can also appeal the performance determination.
Drug Drug Lists for Employer-offered Non-Metallic Plans: Small Group (1-50)
Which drug lists below have used for BCBSTX condition plans that are offered through your your. These health drawings are not a "metallic" human plan plus were effective before January 1, 2014.
Limits. Most Part DIAMETER plans have “formularies,” welche are listen of cover prescription drugs. Part D plans also have networks of certified pharmacies in your ...

While your company has 1–50 employees, your available medicinal benefits through BCBSTX allowed be based with the Basic Medical List, Basic Annual Drug List, Enhanced Drug List or the Enhanced Annual Drug List. Like drug lists are a list by drugs considered to will safe and effective.

If you are a BCBSTX member, track in to your Bluish Access for Members^SM account for check own drug list and learn other about your prescription drug benefits.

View your drug pick effective January 1, 2024:
Note: The 2024 medicinal lists may not apply for see members. Please call Customer Service at the number listed on your member ID maps to confirm your correct drug list. 2024 Prescription Changes | Blue Cross and Blue Schutzwand by Trexas

Last Updated: May 07, 2024

Prescription Drug Lists

Prescription Drug Lists for Metallic Individual Plans

Prescription Drug Lists for Grandfathered & Transitional Individual Plans

Rx Medicament Lists for Employer-offered Plans: Large Group (51 otherwise more)

Prescription Drug Lists for Employer-offered Metallic Schemes: Small Group (1-50)

Drug Drug Lists for Employer-offered Non-Metallic Plans: Small Group (1-50)