Drug Lists: The prescription drugs your plan covers
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Which formulary/drug list applies to your plan?
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One or more Benefit/Program Drug Lists may also apply to your plan
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Formulary/Drug Lists
All of the drug lists in this section include our Drug Search (Searchable) Tool functionality
Essential Drug Lists
This list may be for you if you get your health insurance plan from an employer. Check with your employer to make sure you have Blue Cross and Blue Shield of Georgia’s Essential Drug List. Or contact the Customer Service number on your member ID card if you need assistance.
- Essential Drug List 3-Tier (Searchable) | Essential List 3-Tier with 1a/1b (Searchable) | (PDF)
- Essential Drug List 4-Tier (Searchable) | Essential List 4-Tier with 1a/1b (Searchable) | (PDF)
- Essential Drug List 5-Tier (Searchable) | Essential List 5-Tier with 1a/1b (Searchable) | (PDF)
- Essential Drug List 3-Tier (Searchable) | Essential Drug List 3-Tier with 1a/1b (Searchable) | (PDF)
- Essential Drug List 4-Tier (Searchable) | Essential Drug List 4-Tier with 1a/1b (Searchable) | (PDF)
- Essential Drug List 5-Tier (Searchable) | Essential Drug List 5-Tier with 1a/1b (Searchable) | (PDF)
National Drug Lists
These lists may be for you if you get your health insurance plan from an employer or if you have certain grandfathered plans. Contact the Customer Service number on your member ID card if you need assistance.
- NEW! Important Changes to the National Drug List (3, 4 & 5 Tier plans) – Effective Apr 1, 2018 | (PDF)
- National Drug List 3-Tier (Searchable) | National Drug List 3-Tier with 1a/1b (Searchable) | (PDF)
- National Drug List 4-Tier (Searchable) | National Drug List 4-Tier with 1a/1b (Searchable) | (PDF)
- National Drug List 5-Tier (Searchable) | National Drug List 5-Tier with 1a/1b (Searchable) | (PDF)
- National Drug List - Closed (Searchable) | (PDF)
Preferred Drug Lists
Blue Cross Blue Shield of Georgia has aligned the National and Preferred Drug Lists. Please refer to the National Drug List information above.
Select Drug Lists
This version of the Select Drug List applies to Individual plans if you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange) or if you purchased coverage off the exchange and not through your employer:
- Individual Select Drug List(Searchable) | (PDF)
This version of the Select Drug List applies to Small Group plans if your coverage is through a Small Group employer on, and in some cases, off the exchange.
- Small Group Select Drug List 4-tier (Searchable) | (PDF) | Select Drug List 5-tier (Searchable) | (PDF)
Contact the Customer Service number on your member ID card if you need assistance.
Traditional Open Drug Lists
These lists may be for you if you get your health insurance plan from an employer or if you have certain grandfathered plans. Contact the Customer Service number on your member ID card if you need assistance.
- Traditional Open Drug List 3-tier (Searchable) | Traditional Open Drug List 3-tier with 1a/1b (Searchable) | (PDF)
- Traditional Open Drug List 4-tier (Searchable) | Traditional Open Drug List 4-tier with 1a/1b (Searchable) | (PDF)
- Traditional Open Drug List 5-tier (Searchable) | Traditional Open Drug List 5-tier with 1a/1b (Searchable) | (PDF)
Generic Premium Drug Lists
The Generic Premium Drug List is no longer actively marketed and only applies to members who have not been transitioned to an alternative drug list.
Benefit/Program Drug Lists
One or more Benefit/Program Drug Lists may also apply to your plan
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PreventiveRx Drug Lists
One of these lists may apply to you if your plan includes the PreventiveRx benefit (members can receive certain preventive drugs at low or no cost). Check with your employer or contact the Customer Service number on your member ID card if you need assistance.
If you have the Essential formulary/drug list, this PreventiveRx drug list may apply to you:
If you have the National formulary/drug list, one of these PreventiveRx drug lists may apply to you:
- PreventiveRx Plus Drug List (National)
- PreventiveRx Basic Drug List | (Español)
- PreventiveRx Basic Plus Drug List | (Español)
- PreventiveRx Expanded Drug List | (Español)
Blue Cross Blue Shield of Georgia has aligned the National and Preferred Drug Lists. If you have the PreventiveRx Drug List (Preferred), please refer to the PreventiveRx Plus Drug List (National) above.
If you have the Select formulary/drug list, this PreventiveRx drug list may apply to you:
If you have the Traditional Open formulary/drug list, this PreventiveRx drug list may apply to you:
GenericSelect Drug List
This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.
Half Tablet Drug List
This list may be for you if your plan includes this benefit program. Check with your employer, or contact the Customer Service number on your member ID card if you need assistance.
Exclusive Specialty Drug List
This list includes specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. However, this applies only if you have a specialty pharmacy network included in your benefit.
Medical Specialty Pharmacy Drug Lists
This list of specialty medications is not covered under the pharmacy benefit for certain groups.
This list of specialty medications is not covered under the medical benefit for certain groups.
How we choose the drugs on these lists
An independent group of practicing doctors, pharmacists and other health-care professionals meet often to look at new and existing drugs. They choose drugs for these lists based on a number of factors including how well they work, value to patients and safety. All drugs on these lists are approved by the Food and Drug Administration (FDA). View the latest updates from this committee.
More resources that may help you
- Formulary Addition Request form
- Home Delivery and Smart90 Maintenance Drug List (BCBSGA) | Español
- Home Delivery and Smart90 Maintenance Drug List (Georgia National Accounts) | Español
- Preventive Care Flier
- Preventive ACA Drug List Flier
- Provider Medical Specialty Pharmacy Drug List
- Save with our Drug List, Generic and OTC Drugs
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