Blue Shield members:
Log in to view your plan-specific drug copayments.

Formulary Changes

Updated March 2014.

We review and update our prescription drug formularies quarterly.  Read about recent changes.

Drug Formularies

Find more information about drug coverage under your benefits by selecting one of the plans below. Refer to the Drug Formulary (PDF) for a list of Blue Shield preferred generic and brand-name medications which serves as a guide for our members in the selection of cost-effective drug therapy. Additional drug lists are also provided.


Medicare Part D

Select the link to learn about Medicare Part D prescription drug benefits and which drugs are covered in our plans.


Individual & Family Plan and Small Groups (Up to 50 Employees)*

Select the links to learn about different drug coverage topics on the Standard Drug Formulary for members in individual & family plans (IFP) or small group plans that have renewed their benefit on 1/1/14 or later.  These prescription drug benefits can be obtained from Covered California or directly from Blue Shield of California.

* Note: For members in grandfathered Individual & Family Plans and members in Small Group Early Renewal plans, refer to the Plus Drug Formulary. Refer to this for specialty drugs that can be obtained only through a Blue Shield Network Specialty Pharmacy.  Refer to this for drugs required by Health Reform to be covered at $0 member share-of-cost.

Refer to this for contraceptive drugs and devices covered at $0 member share-of-cost.

 
return to top

Large Groups (51 Employees or More)*

Learn about different drug coverage topics on the Plus Drug Formulary for members in large group plans.

* Note: For members in the 51-100 Small Business Transition plans, refer to the Standard Drug Formulary. Refer to this for specialty drugs that can be obtained only through a Blue Shield Network Specialty Pharmacy. For members with a mandatory mail service or maintenance drug benefit, refer to this list for drugs that you may fill at the mail service pharmacy. Other maintenance drugs may be provided by Blue Shield's mail service pharmacy.   Refer to this for drugs required by Health Reform to be covered at $0 member share-of-cost.

Refer to this for contraceptive drugs and devices covered at $0 member share-of-cost.

return to top

  
 Plus Drug Formulary Database


Search for a drug by brand or generic name, medical condition or drug class, or browse alphabetically. You can find preferred (formulary) drugs only or search all drugs in the database.

Search by Keyword
Search For:
Search In:
Drug Names
Medical Conditions
Drug Classes
 

-OR-

Browse Alphabetically
Browse For:
Drug Names
Medical Conditions
Drug Classes
Beginning with:   A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

If you are a Blue Shield member, you should check your Evidence of Coverage booklet/Certificate of Insurance/Policy to find out about drug coverage and how our formulary may apply to your specific plan.

Our formulary is updated quarterly by a group of community physicians and pharmacists and is subject to change. Please check back regularly for recent additions and deletions.