Frequently asked questions

Do you have questions about your outpatient drug benefits? Check here -- we've answered your most frequently asked questions. If your question isn't listed, please call the number on the back of your Blue Shield ID card for assistance, or check your Evidence of Coverage.

Drug formularies

Find out more about our formulary and the preferred generic and brand-name medications covered under your prescription drug benefit.

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Drug benefits

Get answers to commonly asked questions about pharmacy copayments, deductibles and benefits.

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Pharmacy and therapeutics committee

Learn about the Pharmacy and Therapeutics Committee and its processes for reviewing and selecting drugs for the formulary.

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Mail service pharmacy

Get information on how our Blue Shield mail-service pharmacy benefit works, including what to expect and turn-around times.

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Vacation supply

Going away on vacation? Find out how you can get your medications refilled away from home or before you leave.

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Drug prior authorization

Read about the drug prior authorization process and how to obtain prior authorization for medications.

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Pharmacy claims and providers

Get more information about pharmacies in our network, getting reimbursed when you pay out of pocket and how long it takes to receive reimbursement.

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Specialty pharmacy

Get information on our Blue Shield specialty pharmacies, including what to expect and turnaround times for specialty prescriptions.

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View member discounts and wellness tools

Member exclusives