What are preventive health drugs?
Preventive health drugs are select drugs required to be covered at no cost to you in non-grandfathered Commercial plans. Preventive health drugs are determined based on evidence-based recommendations by the United States Preventive Services Task Force (USPSTF) with a rating of “A” or “B.”
For coverage of the preventive health drugs at no cost, the preventive health drugs must be prescribed by a healthcare provider and obtained from a Blue Shield of California participating pharmacy. You must also meet the specific coverage criteria listed below and have a pharmacy benefit with Blue Shield.
Eligible preventive health drugs require a valid prescription, including over-the-counter (OTC) products, to be covered under the pharmacy benefit. Other requirements may apply; please refer to your plan enrollment materials for complete benefit coverage information.
Talk with your doctor about which medication may be right for you. If your doctor feels a certain medication on this list isn’t right for you, ask your doctor to call us. We will work together to look for other medications that may be available at no cost to you.
Please call the phone number listed on your Blue Shield member ID card for any questions about preventive health drugs, This is not a prescription drug benefit or prescription drug coverage under Medicare Part B or Part D. Please see your plan documents to verify prescription drug benefits or coverage, as applicable..
The following list of preventive health drugs is available to download as a PDF:
Preventive health drugs list, English (PDF, 38 KB) | Spanish (PDF, 64 KB)