How do I know if a drug is listed in the Blue Shield Drug Formulary?
The Blue Shield Drug Formulary lists most generic and all brand-name drugs covered by the health plan. Some drugs are listed but may be an exclusion for your plan. Note that some drugs need prior authorization to document medical necessity. Some benefit plans include coverage for non-formulary drugs at a higher copayment. You should check your EOC or call the Member Services number on your Blue Shield ID card to verify if your prescription is covered or if the drug is excluded. While the most current version of the Blue Shield Drug Formulary is on our Web site, you can also ask Member Services to mail you a printed version.