Medication policy list

Medicare Plans

Part D drug list for Medicare plans

View Medicare formularies, prior authorization, and step therapy criteria by selecting the appropriate plan and county.
 

Part B Medication Policy for Blue Shield Medicare PPO

Blue Shield Medicare plans follow Medicare guidelines for risk allocation and Medicare national and local coverage guideline.


Commercial Plans

Find medication and treatment policy documents, as well as announcements about formulary and policy changes.

 

Medical Benefit drug policies for Commercial plans

Pharmacy Benefit drug policies for Commercial plans

Medication policy updates

Find announcements about formulary and policy changes

Medication policy user guide

This brief user guide describes our medication policy, explains terms used, and includes contact info for more information

About medication policy

Find out how our medication policy, which determines if a service will be covered by a plan, is reviewed and updated.

Drug formulary, policy and forms

Search our drug formulary database, get prior authorization forms, and find information on oral and topical drugs, home-injectable drugs and more.