To use your pharmacy coverage, present your
member ID card at a participating pharmacy. Some members have a separate drug card
for pharmacy benefits. Your ID card should list your copayments and coinsurance
if applicable. BlueAdvantage members may have third-party pharmacy benefits
administrators other than Caremark. Only Caremark benefits are described on
this page. Check your benefit booklet or call the Customer Service number on your
ID card to determine whether these benefits apply to you. If Caremark is the
pharmacy benefits administrator listed on your ID card and you need more
information regarding your pharmacy coverage, call 1-888-293-3748.
Search: Your prescriptions claims history, including prescription number, date
filled, prescriber, quantity, pharmacy, amount paid by you and amount paid by your
Note: To access information about your personal pharmacy claims, you must
register to use
My Blueprint, our member self-service center.
Network Pharmacy Search:
Search for a network pharmacy by name, city, state or zip code. Maps and driving
directions are provided.
Mail-Order Drugs: A description of the mail-order option
some employers have chosen for their employees and a link to the mail-order form.
Prescription Claim Form (PDF)
Prior Authorization Form for Prescription Drugs (PDF)
Specialty Drugs: A description of the program that
covers injectable and select oral medications.
Go Generic: Information about the cost and quality of
generic drugs, including:
Note: Your plan's covered drug list may vary from this standard formulary. Call the Customer Service number on your ID card or consult your group administrator to verify this formulary.
2014 Formulary Two (formerly called Complete Care) (PDF)
2014 Standard Formulary (PDF)
2014 Standard Formulary Preferred Drug List (PDF)
2014 Value Formulary (PDF)
2014 Value Formulary Preferred Drug List (PDF)
Maintenance Drugs (PDF): Medications considered to be necessary for long periods of time.
Prior Authorization List (PDF): Medications that require prior approval. For authorization, call 1-877-433-2973.