Drug Lists: The prescription drugs your plan covers

 
View drug list information for plans in California, Georgia, or New York.
 
If you have Anthem Blue Cross and Blue Shield drug 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.
 
Which drug list applies to your plan? If you have Individual & Family or Small Group coverage, you will find your plan’s drug list or “formulary” printed on your member ID card. Or, 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.  

Select drug lists 

These lists apply to plans purchased on your state’s Health Insurance Marketplace (also known as the exchange) or if you have purchased Individual coverage off the exchange.

Please select the list for your state.

National drug lists

These lists are for you if you get your health insurance plan from your work, another group, or if you have purchased Individual coverage off the exchange.

Generic Premium drug list

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

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. 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. Please select the list for your state.

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.

Learn how drugs are selected for specific conditions:

Getting another drug added to the list

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.

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.