Drug List Exclusions

The drugs on these lists are not covered on the commercial Blue Cross Blue Shield drug lists.

The preferred alternatives on these lists have similar effectiveness, quality and safety but at a fraction of the cost. Our exclusions criteria are based on current medical information and have been approved by the Blue Cross Pharmacy and Therapeutics Committee. If medical necessity coverage is approved, quantity limits may apply. 

Drug List Exclusions (PDF)
Preferred Drug List Exclusions (PDF)

Questions? We can help!

To verify a member's benefit plan or get answers to your pharmacy-related questions, please contact us