Highmark BCBS Formulary Overview: Coverage, Tiers, and Approval

Highmark Blue Cross Blue Shield (BCBS) maintains a comprehensive formulary that outlines the medications covered under their plans. The formulary is reviewed and updated regularly to ensure it remains relevant and effective.

The formulary is organized into different tiers, with each tier representing a different level of cost-sharing. Tier 1 medications are typically generic or preferred brand-name drugs, while Tier 2 medications are usually non-preferred brand-name drugs. Tier 3 medications are often specialty or injectable medications.

Members can check the formulary to see if their medications are covered and what tier they fall under. If a medication is not on the formulary, members may need to get approval from Highmark BCBS for coverage.

Discover more: Highmark Medicare Supplement Plans

With Highmark BCBS, you can count on convenient access to the prescription drugs you need. You can fill your prescriptions at over 55,000 retail pharmacies.

This extensive network ensures that you have plenty of options to choose from, making it easy to find a pharmacy near you.

We have a comprehensive pharmacy coverage plan that ensures you and your family have easy access to the prescription drugs you need. Our plan includes a vast list of covered prescription drugs, including generic, brand name, and specialty drugs.

You can fill your prescriptions at over 55,000 retail pharmacies, giving you plenty of options to choose from. This convenience is especially important if you have a busy schedule or live in a rural area.

The FEP Mail Service Program is another option for filling your prescriptions, allowing you to have them delivered right to your doorstep. This can be a lifesaver if you're unable to visit a physical pharmacy.

If you're prescribed specialty drugs, you'll be happy to know that we have a dedicated program to help you get them at a reasonable cost. The FEP Specialty Pharmacy Program is exclusively for members who need these specialized medications.

Curious to learn more? Check out: Bcbs Wellness

The Standard Incentive Program is a great way to save money on your prescriptions. For FEP Blue Standard members, switching to a generic medication can waive your cost share for your first four prescription fills or refills.

If you're considering this option, you can view and download the Generic Incentive Program Drug List to see if there's an alternative generic drug that can treat your condition.

A fresh viewpoint: Bcbs Drug Formulary 2023