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.

Please choose a plan below for formulary information.

Medicare Plus Blue PPO Essential, Vitality and Signature/Prescription Blue PDP Option A

Medicare Plus Blue PPO Assure and Prescription Blue PDP Option B

Additional resources:


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