Your 2014 Prescription Drug List

The drug list includes three tiers of medications: generic, preferred brand-name drugs and non-preferred brand- name drugs.. Your copay or coinsurance for your prescription is based

• Prior Authorization List (PA) – Specific drugs that may need authorization from your benefit plan before they are dispensed by your pharmacy.. • Step Therapy (ST) –

Coverage varies based on your benefit plan – see Health Care Reform section at end of document and your plan materials Limit of 30-day supply for each prescription; maximum

For a list of the brand-name drugs included on the formulary list, click on the Prescription Drugs link in the My Benefit Links box or call the pharmaceutical carrier directly..

Please note, in order to obtain coverage at no additional cost for preventive care medications and products (including over-the-counter) you will need a prescription from your

We assessed the impact of introducing an internally developed, low- cost E-prescription system, with a list of commonly prescribed medications, on prescription error rates at

Blue Cross of Northeastern Pennsylvania provides prescription drug coverage with administrative assistance from Express Scripts, Inc., an independent pharmacy benefit

Prescription drugs, formulary, pharmacy network, mail order service: If you enroll in Platinum Blue with Rx, you must receive your Medicare prescription drug coverage through