Drug List

Drug Lists

Get access to up-to-date Anthem Pharmacy coverage for your drug list. Our drug lists include details about brands and generics, dosage/strength options, and information about prior authorization of your drug.

How We Choose The Drugs On These Lists

An independent group of practicing doctors, pharmacists and other health-care professionals meet regularly to review new and existing drugs.

The medications on your drug list are chosen 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).

Essential Drug List

The Essential drug list is for members who receive a health insurance plan from an employer.

Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.

National Drug List

The National drug list is for members who receive a health insurance plan from an employer, if they have certain grandfathered plans, or in some cases if coverage is through a Small Group employer.

Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.

National Direct Drug List

The National Direct drug list is for members who receive a health insurance plan from an employer.

Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.

National Direct Plus Drug List

The National Direct drug list is for members who receive a health insurance plan from an employer.

Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.

Select Drug List

Select Drug Lists apply to Individual plans if you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange) or if you purchased coverage off the exchange and not through your employer. Choose your state above to find your plan's Select Drug list.

Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.

Traditional Open Drug List

The Traditional Open drug list is for members who receive a health insurance plan from an employer, if they have certain grandfathered plans, or in some cases if coverage is through a Small Group employer.

Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.

Benefit and Program Drug Lists

PreventiveRx Drug Lists

These lists apply to members who’s plan includes the PreventiveRx benefit. This benefit includes members receiving certain preventive drugs at low or no cost.

Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.

Exclusive Specialty Drug List

This list includes the specialty drugs that must be filled through a participating specialty pharmacy for coverage to be provided. This list only applies if a member has a specialty pharmacy network included in their benefit.

 Exclusive Specialty Drug List

Specialty Drug Benefit Exclusion Lists

This list of specialty medications, if covered by a member’s plan, are not covered under the pharmacy benefit. Some exceptions may apply.

 Specialty drugs not covered under the pharmacy benefit

This list of specialty medications, if covered by a member’s plan, are not covered under the medical benefit. Some exceptions may apply.

 Specialty drugs not covered under the medical benefit

Home Delivery and Rx Maintenance 90 Drug Lists

These lists are for members who refill prescriptions through home delivery or at a Rx Maintenance 90 pharmacy. Typically this is for maintenance drugs used to treat long-term conditions like high blood pressure or diabetes.

Find an Rx Maintenance 90 pharmacy to obtain up to a 90-day supply of your medicine through on of our Rx Networks.

 Home Delivery and Rx Maintenance 90 Drug List

 Home Delivery and Rx Maintenance 90 Drug List (Español)

Additional Benefits and Forms