HMO Drug Lists for Group Members
Who is this for?
If you have a HMO health plan that includes prescription drug coverage through an employer, you can use these drug lists to see if your plan covers a medication.
Are you insured through an employer with 51 or more full-time employees and have an HMO plan from Blue Care Network? You can use these drug lists to see if your medication is covered. Not sure which list to use? Check your plan's prescription drug benefits or call the customer service number on the back of your Blues ID card and we'll help.
Custom Drug List (PDF)
Blue Care Network’s most comprehensive drug list.
Custom Drug List Quick Guide (PDF)
Blue Care Network’s list of the most commonly prescribed drugs.
Custom and Custom Select Drug List Update (PDF)
The latest additions and changes to the Blue Care Network Custom Drug List.
Preventive Drug Coverage (PDF): A list of preventive drugs that are covered with $0 copay.
Blue Care Network Prior Authorization and Step Therapy Guidelines (PDF)
A list of prescription drugs that require prior authorization or step therapy.
Specialty Drug Program Member Guide (PDF)
Explains specialty drugs and where and how to order them.
15-Day Specialty Drug Limitation Program
A list of potent specialty drugs that have a 15-day supply limit.
Savings Plus Quick Guide for Members (PDF)
Blue Care Network’s list of the most commonly prescribed drugs for members with the Saving Plus prescription plan.
Blue Essentials Formulary Quick Guide for Members (PDF)
Blue Care Network’s list of the most commonly prescribed drugs for members with the Blue Essentials prescription plan.
Blue Essentials Value Tier Drug List (PDF)
A list of drugs with no copay for members who have Blue Essentials prescription drug coverage.
Quantity Limits (PDF)
A list of drugs that have limits on how much medication you can get with one prescription.
Preferred Alternatives (PDF)
If a drug you've been prescribed isn't in our drug list, your doctor can use this list to find an alternative.