Pharmacy resources

Over-the-Counter (OTC) items allowance

Plans with this benefit include a quarterly amount to cover over-the-counter health and wellness items

Medicare Drug Formulary

Our Medicare Advantage and Medicare Prescription Drug Plans include a list of covered drugs

Pharmacy network

Learn more about how and where to get your prescription medications 

Price Check My Rx

Your member portal includes a tool you can use to compare the cost of your medications against other available options

Coverage decisions and exceptions

Request coverage of specific prescription drugs

Learn how


Transition policy

What happens to your prescriptions when you enroll in a Medicare plan with prescription benefits?

Understand our medication transition process


Medication Therapy Management Program services 

Get help with your medications, improve outcomes, and reduce the risk of adverse effects

Get more information


Pharmacist provider services

Get help managing your medications at no additional cost to you

Find out more

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Page last updated: 10/01/2023

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For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the California State Medicaid Program. Enrollment in Blue Shield of California depends on contract renewal.

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