Bcbs Prescription Drug List 2024: Key Details and Changes

The Blue Cross Blue Shield (BCBS) prescription drug list for 2024 is a crucial resource for patients and healthcare providers alike. The list includes over 300 medications, covering a wide range of conditions and treatments.

Here are some key details to keep in mind. BCBS has made changes to its formulary, which is the list of covered medications. Some medications have been added, while others have been removed or had their coverage changed.

Patients can expect some changes to the list of covered medications, which may affect their out-of-pocket costs. For example, certain medications for diabetes and high blood pressure will now be covered under the BCBS formulary.

A formulary is a list of brand-name and generic drugs covered under your prescription drug benefit, and you can contact Customer Care for any questions about coverage, pricing, or rules.

Most formularies, like the Lowest Net Cost Formulary, are created by an independent panel of doctors and pharmacists who choose cost-effective drugs that work well to treat your condition.

Drugs on a formulary will cost you less out of pocket than those not on the list, giving you a better value for your money.

You and your doctor have the freedom to choose the medication that works best for you, even if it's not on the formulary, but keep in mind that it may cost more out of pocket.

Some medical specialty drugs require prior authorization, which means you'll need to get approval before your insurance will cover the cost. This can be a bit of a hassle, but it's worth it to make sure you're getting the right treatment.

Some infused specialty medications must be administered at home or at an infusion suite, which can be a convenient option for those who qualify. This type of treatment is usually reserved for medications that require more frequent or complex administration.

The Medical Drug program works by requiring prior authorization for certain medications, and it includes a list of specific drugs that are covered under this program. If you have a medication that requires prior authorization, you can learn more about the program and which drugs are included.

To get quality, cost-effective drug therapy, BCBS has a Step Therapy program that groups drugs into two categories. Members must try one or more Step One Drugs before their plans will cover Step Two Drugs.

Specialty drugs are used to treat complex or chronic medical conditions like cancer, rheumatoid arthritis, multiple sclerosis, and hepatitis.

Depending on your plan, you may pay a different copayment or coinsurance for drugs on the Specialty Drug List.

Some members are subject to separate management programs for specialty drugs that are covered under their medical benefits.

Specialty drugs are prescription medications used to treat complex or chronic medical conditions like cancer, rheumatoid arthritis, and hepatitis.

You may pay a different copayment or coinsurance for specialty drugs on the Specialty Drug List, depending on your plan.

Some members are subject to separate management programs for specialty drugs covered under their medical benefits.

Specialty drugs are prescription medications used to treat complex or chronic medical conditions like cancer, rheumatoid arthritis, multiple sclerosis, and hepatitis.

You may pay a different copayment or coinsurance for drugs on the Specialty Drug List, depending on your plan.

Some members are subject to separate management programs for specialty drugs that are covered under their medical benefits.

You may have a specialty drug that's only covered if you fill it through a participating specialty pharmacy. This is known as an Exclusive Specialty Drug.

To find out if your specialty drug is on this list, you'll need to check your benefit plan. Some plans include a specialty pharmacy network that's required for coverage.

If your plan has this network, you'll need to fill your specialty drug through a participating pharmacy to get coverage. This is a requirement for coverage, not a suggestion.