Medicare Plus Blue PPO and Prescription Blue PDP formularies

Medicare Plus Blue PPO℠ and Prescription Blue PDP℠ plans include prescription drug coverage. These plans will generally cover drugs listed in our formulary as long as:

  • The drug is medically necessary
  • The prescription is filled at network retail or mail-order pharmacies
  • All other plan rules are followed

The formulary document provides a brief description of the plans' benefits, including any deductibles. It is updated regularly.

Please choose a plan below for formulary information.

Medicare Plus Blue PPO Vitality℠

Medicare Plus Blue PPO Signature℠ and Prescription Blue PDP Option A

Medicare Plus Blue PPO Assure℠ and Prescription Blue PDP Option B

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