Drug List

The Prescription Drugs Your Plan Covers

 

Choose your state to search or download Anthem Blue Cross and Blue Shield drug lists, including new or updated versions of the drug lists.

 

If your health plan is located in a state where you do not reside, choose the state of your health plan to access the correct drug list. For example, if you live in Colorado but your employer's health plan is with Blue Cross Blue Shield Indiana, you will choose Indiana to access the drug list for your plan.

 

If you are a member with Anthem's pharmacy coverage, log in and automatically connect to the current drug list that applies to your pharmacy benefits. If you're not sure whether which list applies to your plan, check with your employer, or call the Pharmacy Member Services number printed on your ID card.

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 Plus 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.

CarelonRx Specialty Pharmacy Exclusive 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.

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.

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.

Additional Benefits and Forms