To verify a member's plan, please either log in or register. Our goal is to help you quickly and easily find out if you, the provider, or a provider referral, participate in the member's plan.
*Blue Shield of California Member Plans Only
Clinical Policies and Guidelines
Also download prior authorization forms for medical procedures, oral/topical drugs and home self-administered injectables.
In This Section
Search our drug formulary database, get prior authorization forms, and find information on oral and topical drugs, home-injectable drugs and more.
Learn about our medical policies, policy goals and our process for making coverage decisions for new technologies.
Read about our medication policy for injectable drugs, and find information about office-administered drugs for Medicare members.
Use this tool to find medical policy or general prior authorization requirements for out-of-area members.