Drug Information


The drug list, also called a formulary, includes both brand name and generic drugs. It will also tell you:

  • About your drug's co-payment
  • Whether limitations to coverage exist like:
    • Prior authorization
    • Quantity limits
    • Step therapy

Generic drugs:

You may save money by switching from brand drugs to generic drugs. These drugs:

  • Have the same active ingredient formula as brand name drugs
  • Usually cost less than brand name drugs
  • Are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs

Keep in mind, to receive your full pharmacy benefits, you should use:

  • Blue Cross MedicareRxSM network pharmacies, including our home delivery pharmacy service, Primemail®* (except in an emergency). Using an out-of-network pharmacy may result in less than full reimbursement for out-of-pocket costs.
  • A preferred pharmacy which may result in lower member out-of-pocket cost.

Also, when using PrimeMail or our preferred network pharmacies, you may have the ability to:

  • Purchase a 90-day supply of a prescription drug

2016 Formulary List of Covered Drugs

Search for your prescriptions

Drug Formulary Basic (PDP) - English  

Drug Formulary Basic (PDP) - en Español 

Drug Formulary Value and Plus (PDP) - English  

Drug Formulary Value and Plus (PDP) - en Español 

If you need assistance with additional plan documents please call customer service at 1-888-285-2249 TTY/TDD: 711.

Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

*PrimeMail is a registered mark of Prime Therapeutics LLC.
PrimeMail is offered by Prime Therapeutics LLC, a separate company that provides pharmacy benefit management services for Blue Cross and Blue Shield of Oklahoma.