Drug formularies

Learn about prescription drug coverage and view our formularies. You can also learn about the differences between preferred generic and brand-name medications covered under your outpatient prescription drug benefit.

Our prescription drug formularies are updated monthly and formulary change announcements are updated quarterly. You can read about the recent changes.

Have questions? Check out formulary FAQs.

Drug formularies MAPD

Learn about prescription drug coverage and view our formularies. You can also learn about the differences between preferred generic and brand-name medications covered under your outpatient prescription drug benefit.

Our prescription drug formularies are updated monthly and formulary change announcements are updated quarterly. You can read about the  recent changes.

Have questions? Check out drug formulary FAQs.

Pharmacy networks

Blue Shield of California commercial plans have two pharmacy network types: Rx Ultra and Rx Spectrum. Both networks provide you with access to over 68,000 convenient retail pharmacies nationwide including grocery, discount, and drug stores.

Rx Ultra network is the pharmacy network type for Individual and Family Plans, Covered California plans, and most Large Group plans. This network allows you to visit any participating network pharmacy. You will be responsible for the copay or coinsurance  listed in  your benefits. If your plan has a deductible, that could impact what you pay.

If you already have pharmacy benefits through Blue Shield of California, you can log in to search the pharmacy network that is specific to your current plan. 

Rx Spectrum is the pharmacy network type for Small Business Trio HMO, and Small Business Tandem PPO plans. In addition, select Large Group plans with the Rx Spectrum rider have this network type. This network offers cost savings when you fill a prescription at a one of these preferred pharmacies: CVS Pharmacy, Costco, Safeway, and Vons. You can still use non-preferred network pharmacies, but you will pay a higher cost share for your prescriptions. 

If your Blue Shield Plan has the Rx Spectrum pharmacy network, get started on saving with one of these links:
Pharmacy networks MAPD

Learn about in-network Blue Shield pharmacies, and locate a pharmacy that meets your needs.

Rx Spectrum and Small Business Tandem PPO plan members should refer to the condensed listing, and pharmacy directories below to view Level A network pharmacies. Level A network pharmacies offer preferred cost-sharing as well as convenience. 

Have questions? Check out pharmacy networks FAQs.

Pharmacy FAQs

We've answered your most frequently asked questions about prescription benefits. If your question isn't listed, check your Evidence of Coverage or call the number listed on the back of your Blue Shield Member ID card for assistance.

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Page last updated: 10/01/2020

© Blue Shield of California 1999-2020. All rights reserved. Blue Shield of California is an independent member of the Blue Shield Association.

This information is not a complete description of benefits.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability.
Blue Shield of California cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad.
Blue Shield of California 遵循適用的州法律和聯邦公民權利法律,並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。
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