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Pharmacy Formulary

The Outpatient Prescription Drug Formulary is a list of prescription drugs that are preferred by Blue cross of California (BCC) for use as the first line drug therapy. Some medications may require prior authorization of benefits while others may not be covered by the prescription drug benefit.

Members should refer to their Evidence of Coverage (EOC) for benefit details, exclusions and limitations.The Pharmacy and Therapeutics (P&T) Committee quarterly updates the BCC Formulary and Right Plan Generic Formulary. The committee consists of practicing physicians and pharmacists.

Formulary revision is based on objective evaluation of the efficacy, safety, and value of reviewed medications .Please note that the medications listed on the Blue Cross of California Outpatient Prescription Drug Formulary are subject to change without prior notification.

For the most up-to-date prescription drug information, please contact 800-700-2533 or click here for a list of the current updates to formularies that are revised quarterly. Most pharmacy benefit plans provide coverage for self-administered injections and drugs. To view a list of self-administered self-injections that may be covered dependent upon benefit design, please use the Self-Inject able selection option located on the Formulary Selection window.