Prescription Drug Information
Get the most from your prescription drug coverage by using these helpful forms and documents to make changes, add features, file claims and much more.
Note: Forms on this page are available as PDF files. Just click on the appropriate form to view, download and print. You will need the Adobe® Reader® to access these files, which you can download for free at Adobe's site 
. If these downloadable PDF forms are altered in any way they will not be processed by Blue Cross and Blue Shield of Oklahoma.
Prescription Lists, Guides and Forms
The BCBSOK Drug List 
(also known as a formulary) includes the following information: [Updated 1/01/10]
- Member Prescription Benefits
- Pharmacy and Therapeutics/Health Care Service Corporation Preferred Drug Committees
- Generic Substitution
- Prior Authorization
- Dispensing Limits
- Step Therapy
- Specialty Pharmacy Program
- Alphabetical Drug List
This list is frequently updated to reflect new drugs and changes. View changes made to the Blue Cross and Blue Shield of Oklahoma Prescription Drug List .
Maintenance medications are drugs taken regularly for an ongoing condition. View the Blue Cross and Blue Shield of Oklahoma Maintenance Drug Listing (Updated 02/09).
- Comprehensive Prescription Drug Claim Form (Updated: 02/09)
- Prescription Drug Claim Form
Note: Blue Cross and Blue Shield health plans offered by self-insured employer groups may have different coverage options, plans or benefits. Please refer to your health plan contract, which governs eligibility, coverage exclusions and available benefits.
Your prescription drug coverage may include a specialty pharmacy program through Triessent®, which is part of our contracting pharmacy network. Specialty medications include those used in the treatment of complex medical conditions, such as hepatitis, hemophilia, multiple sclerosis, rheumatoid arthritis and other conditions requiring self-administered specialty medications.
Through Triessent, members can have covered self-administered specialty medications delivered directly to them or their doctor’s office. When you purchase specialty medications through Triessent, you also receive at no additional charge the following services:
- Coordination of coverage between you, your doctor and Blue Cross and Blue Shield of Oklahoma
- Convenient delivery of medication to you or your physician’s office
- Educational materials about your particular condition and information about managing potential medication side effects
- Syringes, sharps containers and other supplies with every shipment for self-injectable medications
- 24/7/365 customer service phone access
View the Specialty Pharmacy Program Drug List
View the Specialty Drug Brochure — English Spanish
View an overview about our specialty pharmacy program from Triessent.
Right from your home, PrimeMail® , your mail order pharmacy, makes your health a top priority. With PrimeMail, ordering and receiving your long-term medications is easier than ever. PrimeMail provides safe, fast and cost-effective pharmacy services that can save you time and money without sacrificing quality or care. For more information and to start using the PrimeMail service, download these documents.
The Food and Drug Administration has rules in force to ensure that every generic drug contains the same components as its brand-name equivalent. All generic drugs must have the same quality, strength, purity and stability as their counterparts. Generics use the same active ingredients, are shown to act in the same way in the body, and have the same risk-benefit profile as a brand name drug. The difference is the cost. A prescription filled with a generic drug will cost, on average, $40 less per prescription. See the documents below for more information on generic drugs.
