What if members’ medications are not on the drug list?
If a drug prescribed for members is not on their drug list, we offer an “open drug list” that allows members and their physicians to choose a prescription medication that is not on the drug list, as long as it is approved by the FDA. But it’s important to note that choosing medications that are not on our drug list will increase members’ out-of-pocket costs. Members should talk with their doctor about prescribing a medication that is on the drug list when appropriate. If a medication is selected that is not on the drug list, members will be responsible for the applicable non-drug list cost share amount.
