Pharmacy and Drug Information

Pharmacy Information Drug Formulary Information

Get the most coverage for your prescription drugs, by using a pharmacy that's in our network. Choose from the following options to find a network pharmacy near you:

About our pharmacy network

Request a pharmacy directory be mailed to you by calling the appropriate number below. By calling this number, you can also get help with the most current pharmacy information, obtain the name and address of a network pharmacy or get a directory for another state.

MedicareBlue Rx
TTY users call 711
8 a.m. to 8 p.m., daily, Central and Mountain Times
Submit an online request.

Group MedicareBlue Rx
TTY users call 711
8 a.m. to 8 p.m., daily, Central and Mountain Times

Drug Formulary Information page top | go back

Search a list of prescription drugs covered by our Medicare plans also called a formulary. Choose from the following options:

About the drug formulary

Our drug formulary is a list of drugs selected for their value and effectiveness. The list is selected by MedicareBlue Rx in consultation with a team of professional health care providers. The formulary represents prescription therapies believed to be a necessary part of a quality treatment program. MedicareBlue Rx 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 Rx 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 67,000 nationwide pharmacies offering standard cost-sharing or one of the more than 36,000 pharmacies offering preferred cost-sharing.

What if my drug is not on the formulary?

Talk to your doctor if your drug isn't on the formulary. He or she may be able to prescribe a different drug for you that is covered by the plan. If an alternative drug is not available or will not be as effective, your doctor can submit a formulary exception form to ask that the drug be covered.

Can the formulary change?

Yes, drugs may be added or removed during the year. If we remove drugs from our formulary or add restrictions to the drug, such as prior authorization, quantity limits and/or step therapy, or move a drug to a higher level in the formulary, 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 would 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 drugs 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.

About supplemental drugs for group plan members only

If you are a member of a Group MedicareBlueRx plan for employer and union groups, your Part D drugs are listed in the Group Comprehensive Formulary . You also have access to a supplemental drug benefit that helps pay for selected prescription drugs that Medicare does not cover and are not on the formulary. You may purchase drugs on the Supplemental List a 25 percent coinsurance. Please note that the amount you spend on supplemental drugs does not count toward reaching your out-of-pocket maximum for catastrophic coverage. For this reason, we encourage you to talk with your doctor to identify alternate medications that are on the formulary.

If you have questions about the Supplemental Drug list or Group Comprehensive Formulary, please call Customer Service at 1-877-838-3827.

About our pharmacy network page top

MedicareBlue Rx is supported by CVS Caremark.*   With more than 67,000** participating pharmacies nationwide, CVS Caremark offers pharmacy convenience and choices at competitive prices. MedicareBlue Rx has contracts with pharmacies that equal or exceed Medicare requirements for pharmacy access in your area.
* CVS Caremark Part D Services is an independent company providing pharmacy benefit management services.
** 2016 data from CVS Caremark, an independent company providing pharmacy benefit management services.