Are My Drugs Covered?

Once you know that you have Medicare drug coverage, it’s important to find out which of your drugs are covered under your plan. Each Medicare prescription drug plan has a formulary – or drug list – that tells you what’s covered. Most formularies are divided into tiers. Drugs in the lower tiers usually cost less than those in the higher ones. Generic drugs (drugs that are deemed as effective as brand-name) are usually in lower tiers.

To find out if your drugs are covered, search your plan’s formulary.

If you have questions, contact us and we can help you:

• Locate a pharmacy nearby.
• Find out if your plan covers your prescription drugs.
• Order your drugs in a 90-day supply and save money.

Drug Formulary

The formulary is a comprehensive list of prescription drugs covered by your plan.

2019 BlueAdvantage Formulary
Formulary Archive

Formularies do change occasionally, but if that happens to a drug you're taking, we’ll provide you with written notice at least 30 days prior to the date when the change goes into effect. If you request a refill of the drug before this happens, we’ll provide written notice of the change and a 30-day supply under the same plan rules as before the change.

Pharmacy Directory

Forms & Resources

BlueAdvantage PPO℠

• Transition Policy
• Step Therapy Criteria
• Prior Authorization Criteria
• Part D Out of Network Coverage
• Prescription Drug Claim Form
• Request Coverage Determination
• Request Redetermination
• Quality Assurance Policy