Pharmacy Program Updates

The changes detailed here apply to all groups that use the BlueCross Preferred Drug List (PDL) and the Try Generics Drug List. They do NOT apply to groups using the Caremark Formulary/Performance Drug List.

Most changes to our pharmacy programs and lists are made quarterly. Any member who is using a drug that is affected by a pharmacy program change will receive a letter that describes the change and outlines any action required by the member and/or their doctor.

Changes that trigger a letter include:

  • A drug being excluded from the formulary (drug list)
  • A drug moving to a higher copay tier
  • A drug being added to a pharmacy program, such as Prior Authorization, Quantity Management or Step Therapy.
  • April 2019 Update
  • January 2019 Update