| Covered Drugs |
Prescription Drug Coverage Guides Search tip: After opening a PDF, hold the Ctrl key while pressing F on your keyboard Refer to your printed benefit materials to find out if your prescription plan is three-tier or five-tier and if other limitations apply. 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. Manage Your Drug Coverage Online Filing Claims Get help opening PDF files. 
Most commonly prescribed medications subject to QPD limits/allowances (coverage varies by plan)
Certain prescription drugs require prior authorization for benefit coverage. Check back for periodic updates. Physicians must call the Clinical Authorization Department at 1.800.376.7741 for authorization.
Check with your plan administrator to see if your coverage includes specialty retail drug supply limits or mandatory specialty
When you register with Express Scripts, Inc. (ESI), an independent company that serves as the pharmacy benefit manager for Blue Cross and Blue Shield of Louisiana and HMO Louisiana, Inc., use only the numerals in your member ID number and omit the letters. Dependents over age 18 must register separately, but can permit adults under the same member number to view their account.
Registered users can access: