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Prescription Drug Formularies

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Blue Cross of Northeastern Pennsylvania uses 2 prescription drug formularies, also known as preferred drug lists. A formulary is a list of select drugs and how they are covered for our members. These drug formulary lists may change at any time, so refer to the updates as often as possible.  Coverage restrictions are noted within the formularies.

Not sure which formulary to use?

If you have a Blue Cross of Northeastern Pennsylvania individual myBlue® plan, please use the Health Care Reform formulary.

If your child has CHIP health insurance, use the Multi-tiered formulary. A generic copay applies to drugs listed under Tier 1. A brand copay applies to drugs listed under Tier 2 and Tier 3.

If your employer offers prescription drug coverage through Blue Cross of Northeastern Pennsylvania, your group plan may use either the Multi-tiered formulary or the Health Care Reform Multi-tiered formulary. If you’re not sure which formulary applies to your health insurance plan, please call Customer Service at the number on the back of your ID card. If you don’t have an ID card yet, check with your employer or group benefits administrator.