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

To view a list of formularies available to our members, visit the drug list page on our Medicare site. You can learn more about what drugs we cover for individual and group PPO, HMO and PDP members. Information about prior authorization and step therapy is also available.

To find out more about Utilization Management topics like step therapy and prior authorization, visit the Prescription Drug Coverage help section on our Medicare site.

Additional resources:


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