January 2027 prescription drug options
You can offer your clients prescription drug options with a range of copayments and rates. These options – more than 85 in all – cover drugs and supplies in the Blue Shield Drug Formulary, including drugs and devices, contraceptives, diabetic supplies and more. You'll have flexibility when offering affordable choices that enhance your clients' medical plan.
Select a drug coverage plan to accompany the health plan your client is interested in. The information below is effective January 1, 2027 for groups with 101 or more eligible employees.
Prescription drug options
2027 Rx Riders for HMO and POS plans
| Basic Rx Riders for HMO and POS plans | Download and size |
|---|---|
| Basic Rx $10/20 with $0 Pharmacy Deductible | English (PDF, 202KB) Spanish (Coming soon) |
| Basic Rx $10/20 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Basic Rx $10/20 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Basic Rx $10/25 with $0 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Basic Rx $10/25 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Basic Rx $15/30 with $0 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Basic Rx $15/30 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Basic Rx $15/30 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx Riders for HMO and POS plans | Download and size |
|---|---|
| Enhanced Rx $10/15/30 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/15/30 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/20/35 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/20/35 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/25/40 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/25/40 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/25/40 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/30/50 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/30/50 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/30/50 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/45 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/45 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/45 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50% $100 max with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50% $100 max with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50% $100 max with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $15/40/70 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/40/70 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $15/40/70 with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $20/40/60 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $20/40/60 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $20/40/60 with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $5/10/25 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $5/10/25 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/25/40 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/25/40 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/25/40 with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/30/50 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/30/50 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/30/50 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced+ Rx $15/30/45 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced+ Rx $15/30/45 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced+ Rx $15/30/45 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/20/35 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/20/35 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/25/40 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/25/40 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/25/40 with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/30/50 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/30/50 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/30/50 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/45 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/45 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/45 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/40/70 with $0 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/40/70 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/40/70 with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $10/40/60 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $10/40/60 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $10/40/60 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/40/60 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/40/60 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/40/60 with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/50 with $0 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/50 with $150 Pharmacy Deductible | English (PDF, 198 MB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/50 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Enhanced Rx $15/20%/30%/40% with $0 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $15/20%/30%/40% with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx $15/20%/30%/40% with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| RX Spectrum Riders for HMO and POS plans | Download and size |
|---|---|
| Rx Spectrum $10/25/40 with $0 Pharmacy Deductible | English (PDF, 200 KB) Spanish (Coming soon) |
| Rx Spectrum $15/30/45 with $0 Pharmacy Deductible | English (PDF, 200 KB) Spanish (Coming soon) |
| Rx Spectrum $15/30/45 with $150 Pharmacy Deductible | English (PDF, 200 KB) Spanish (Coming soon) |
| Rx Spectrum - Value Formulary $15/30/45 with $0 Pharmacy Deductible | English (PDF, 200 KB) Spanish (Coming soon) |
| Rx Spectrum - Value Formulary $15/30/45 with $150 Pharmacy Deductible | English (PDF, 200 KB) Spanish (Coming soon) |
| Not Marketed HMO/POS plans | Download and size |
|---|---|
| Basic Rx $10/15 with $0 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Basic Rx $10/15 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Basic Rx $15/25 with $0 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Basic Rx $15/25 with $150 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Basic Rx $15/25 with $250 Pharmacy Deductible | English (PDF, 198 KB) Spanish (Coming soon) |
| Premier Rx $0/10/25/40 with $0 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Premier Rx $0/10/25/40 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Premier Rx $0/10/25/40 with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $20/40/60 with $0 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $20/40/60 with $150 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $20/40/60 with $250 Pharmacy Deductible | English (PDF, 199 KB) Spanish (Coming soon) |
2027 Rx Riders for PPO/EPO plans
| Enhanced Rx Riders for PPO/EPO Plans | Download and Size |
|---|---|
| Enhanced Rx $5/10/25 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $5/10/25 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/15/30 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/15/30 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/15/30 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/20/35 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/20/35 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/20/35 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/25/40 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/25/40 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/25/40 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/30/50 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/30/50 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/30/50 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/40/60 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/40/60 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $10/40/60 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/45 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/45 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/45 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50% $100 max with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50% $100 max with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/30/50% $100 max with $250 Pharmacy Deductible | English (PDF, 203 KB) Spanish (Coming soon) |
| Enhanced Rx $15/40/70 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/40/70 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/40/70 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $20/40/60 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $20/40/60 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $20/40/60 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/25/40 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/25/40 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/25/40 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/30/50 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/30/50 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $10/30/50 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $15/30/45 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $15/30/45 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced+ Rx $15/30/45 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/20%/30%/40% with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx $15/20%/30%/40% with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/20/35 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/20/35 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/20/35 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/25/40 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/25/40 with $150 Pharmacy Deductible | English (PDF, 20 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/25/40 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/30/50 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/30/50 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/30/50 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/40/60 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/40/60 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $10/40/60 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/45 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/45 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/45 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/50 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/50 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/30/50 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/40/70 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/40/70 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $15/40/70 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Rx Spectrum Riders for PPO/EPO plans | Download |
|---|---|
| Rx Spectrum $10/25/40 with $0 Pharmacy Deductible | English (PDF, 204 KB) Spanish (Coming soon) |
| Rx Spectrum $15/30/45 with $0 Pharmacy Deductible | English (PDF, 204 KB) Spanish (Coming soon) |
| Rx Spectrum $15/30/45 with $150 Pharmacy Deductible | English (PDF, 204 KB) Spanish (Coming soon) |
| Rx Spectrum - Value Formulary $15/30/45 with $0 Pharmacy Deductible | English (PDF, 204 KB) Spanish (Coming soon) |
| Rx Spectrum - Value Formulary $15/30/45 with $150 Pharmacy Deductible | English (PDF, 204 KB) Spanish (Coming soon) |
| Not Marketed PPO/EPO plans | Download |
|---|---|
| Enhanced Rx - Value Formulary $20/40/60 with $0 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $20/40/60 with $150 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |
| Enhanced Rx - Value Formulary $20/40/60 with $250 Pharmacy Deductible | English (PDF, 202 KB) Spanish (Coming soon) |