/web/reddotcm/html/search.asp
TYPE SIZE  
 
Your Health. Our Commitment.
 Company | Community | Contact Us 
Register | Help 
Your Health. Our Commitment.
Find a Doctor
Pharmacy Services
Covered Drugs
Compare LA Hospitals
Health Records
Healthcare Advisor
Louisiana 2 Step
2 Step 4 Kids
Medical Management
Coverage Policies
Preventive Medicine
Health Communications
[QUICK LINKS]
Manage My Account
Our Plans
Home | Covered Drugs
Covered Drugs
Print
View

Prescription Drug Coverage Guides

View drugs covered under your plan by selecting one of the documents below.

Refer to your printed benefit materials to find out if your prescription plan is three-tier or five-tier and if other limitations apply.

2009 Drug Formulary:

 

Search tip: After opening a PDF, hold the Ctrl key while pressing F on your keyboard 

Pharmacy Services
Keeping our prescription drug lists current is just one service the Blue Cross pharmacy staff provides. We also provide tools to help manage your pharmacy needs and save you money in the long run.

Drug Coverage Resources

  • Quantity Per Dispensing (QPD) Level Limits/Allowances [PDF] Updated 06/12/2009
    Most commonly prescribed medications subject to QPD limits/allowances (coverage varies by plan)

  • Drugs Requiring Prior Authorization [PDF] Updated 06/12/2009
    Certain prescription drugs require prior authorization for benefit coverage. Check back for periodic updates. Prior authorization requests are processed by our pharmacy benefit manager, Express Scripts, Inc. (ESI). Physicians must call ESI to obtain an authorization. (1-800-842-2015).

  • Specialty Pharmacy Program Drug List [PDF] Updated 06/12/2009
    Check with your plan administrator to see if your coverage includes specialty retail drug supply limits or mandatory specialty

Questions about Your Drug Coverage?

*Express Scripts, Inc. (ESI) is an independent company that serves as the pharmacy benefit manager for Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc.

Not all options apply to all benefit plans. Benefits and/or drug lists may have changed since this information was posted. Please call the customer service number on the back of your ID card for more information.

Get help opening PDF files.

 

 

Careers | Ratings & Accreditations | Privacy Notice | Terms of Use | Support | Employee Info
Copyright © 2009 Blue Cross and Blue Shield of Louisiana. Blue Cross and Blue Shield
of Louisiana is licensed to sell products only in the state of Louisiana.
External links open in new windows
to websites not controlled by BCBSLA.