Find A Prescription Drug
Trying to find out which prescription drugs are covered? Find your plan below to see your formulary.
- 2024 Formularies
- 2025 Formularies
Plans Applicable to
Community Blue Medicare HMO Signature
Community Blue Medicare Plus PPO Distinct
Community Blue Medicare Plus PPO Signature
Community Blue Medicare PPO Signature
Community Blue Medicare PPO Distinct
Complete Blue PPO Distinct
Complete Blue PPO Signature
Freedom Blue PPO Signature (DE)
Freedom Blue PPO Distinct (DE)
Freedom Blue PPO DE Calendar
Freedom Blue PPO DE ASO Calendar
Freedom Blue PPO Prestige (DE)
Freedom Blue PPO WV Calendar
Freedom Blue PPO WV ASO Calendar
Freedom Blue PPO Distinct (WV)
Freedom Blue PPO Standard (WV)
Freedom Blue PPO Signature (WV)
Freedom Blue PPO Merit (WV)
Freedom Blue PPO Prestige (WV)
Freedom Blue PPO ValueRx
Security Blue HMO-POS ValueRx
Together Blue Medicare HMO Signature
Plans Applicable to
Blue Rx PDP Complete
Blue Rx PDP Plus
Community Blue Medicare HMO Prestige
Community Blue Medicare PPO Premier
Complete Blue PPO Premier
Community Blue Medicare Plus PPO Premier
Freedom Blue PPO Classic
Freedom Blue PPO Deluxe
Freedom Blue PPO Select
Freedom Blue PPO Standard
Security Blue HMO-POS Deluxe
Security Blue HMO-POS Standard
Plans Applicable to
Freedom Blue PPO WV Non-Calendar
Freedom Blue PPO DE Non-Calendar
Most employer, union, and trust fund group plans use the Incentive Formulary — unless your plan administrator has selected the Performance Formulary. If you are unsure of which formulary your group uses, please consult your plan’s administrator.
If you would like a paper copy of your Formulary, we will gladly mail it to you. Call us at 1-866-677-8565 (TTY users call 711) so that we can help. Representatives are available 8 a.m. - 8 p.m., seven days a week.
Plans Applicable to
Community Blue Medicare HMO Signature
Community Blue Medicare Plus PPO Distinct
Community Blue Medicare Plus PPO Premier
Community Blue Medicare Plus PPO Signature
Community Blue Medicare PPO Signature
Community Blue Medicare PPO Distinct
Community Blue Medicare PPO Premier
Complete Blue Plus PPO Choice
Complete Blue Plus PPO Choice Deluxe
Complete Blue PPO Choice
Complete Blue PPO Choice Deluxe
Complete Blue PPO Distinct
Complete Blue PPO Merit
Complete Blue PPO Premier
Complete Blue PPO Signature
Freedom Blue PPO Signature (DE)
Freedom Blue PPO Choice Deluxe (DE)
Freedom Blue PPO DE Calendar
Freedom Blue PPO DE ASO Calendar
Freedom Blue PPO Prestige (DE)
Freedom Blue PPO WV Calendar
Freedom Blue PPO WV ASO Calendar
Freedom Blue PPO Distinct (WV)
Freedom Blue PPO Standard
Freedom Blue PPO Signature (WV)
Freedom Blue PPO Merit (WV)
Freedom Blue PPO Prestige (WV)
Freedom Blue PPO ValueRx
Security Blue HMO-POS ValueRx
Together Blue Medicare HMO Signature
Plans Applicable to
Blue Rx PDP Complete
Blue Rx PDP Plus
Community Blue Medicare HMO Prestige
Freedom Blue PPO Classic
Freedom Blue PPO Deluxe
Freedom Blue PPO Select
Freedom Blue PPO Standard
Security Blue HMO-POS Deluxe
Security Blue HMO-POS Standard
Plans Applicable to
Freedom Blue PPO PA Non-Calendar
Freedom Blue PPO WV Non-Calendar
Freedom Blue PPO DE Non-Calendar
Security Blue HMO-POS PA Non-Calendar
Community Blue Medicare HMO PA Non-Calendar
Community Blue Medicare PPO PA Non-Calendar
Community Blue Medicare Plus PPO PA Non-Calendar
Blue Rx PA & WV Non-Calendar
Most employer, union, and trust fund group plans use the Incentive Formulary — unless your plan administrator has selected the Performance Formulary. If you are unsure of which formulary your group uses, please consult your plan’s administrator.
If you would like a paper copy of your Formulary, we will gladly mail it to you. Call us at 1-866-677-8565 (TTY users call 711) so that we can help. Representatives are available 8 a.m. - 8 p.m., seven days a week.