Member Services

Search Drug Formulary

The MedicareBlue Rx (PDP) Plan Selector will help you choose the most appropriate drug plan by comparing formulary status, estimated costs, and projected savings of our three MedicareBlue Rx (PDP) drug plans.

Order a Printed Drug Formulary

To order a printed comprehensive drug formulary, call one of the Customer Service numbers below:

MedicareBlue PPO (Regional PPO): 1-866-434-2038
TTY users call 1-866-456-1550

MedicareBlue Rx (PDP): 1-866-434-2037
TTY users call 1-866-456-1550

Assistance is available 8 a.m. to 8 p.m., daily, Central and Mountain Time.

You have the option to speak with a licensed sales representative when you call this number.

What is the drug formulary?

This drug formulary is a list of drugs selected for their value and effectiveness by MedicareBlue PPO (Regional PPO) and MedicareBlue Rx (PDP) in consultation with a team of professional health care providers. These drugs represent the prescription therapies believed to be a necessary part of a quality treatment program. MedicareBlue PPO (Regional PPO) and MedicareBlue Rx (PDP) will generally cover the drugs listed in the formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed.

How much will I pay for my MedicareBlue PPO (Regional PPO) or MedicareBlue Rx (PDP) covered drugs?

In order to receive maximum benefits from your coverage, the drugs you purchase must be included in the formulary and your prescriptions should be filled at one of the more than 59,000 contracted or "network" pharmacies nationwide, where your out-of-pocket cost will be lower than at a non-network pharmacy.

Can the formulary change?

Yes, drugs may be added to or removed from the formulary during the year. If we remove drugs from our formulary or add prior authorization, quantity limits and/or step therapy restrictions on a drug, or move a drug to a higher level, we will notify members who take the drug at least 60 days before the change becomes effective. We may also notify members when they request a refill, at which time they will receive a 60-day supply of the drug. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug’s manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug.

September 02, 2010

Important Information

This page last updated and accepted by CMS July, 2010.

MedicareBlue Rx (PDP) is a Medicare-approved Part D sponsor. MedicareBlue PPO (Regional PPO) is a Medicare-approved regional PPO plan.

Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* and Blue Cross Blue Shield of Wyoming.*

*Independent licensees of the Blue Cross and Blue Shield Association.