Look Up 2020 Prescription Drugs

Starting January 1, 2020, some prescription drugs:

  • Will move to a higher or lower drug tier
  • May be added to or removed from the drug list
  • Have new special requirements

If you’d like to see if your medication is impacted1, you can review 2020 prescription drug list changes.

Drugs with Special Requirements

If you see a mark in the additional requirements columns, here's what they mean:

  • PA (prior authorization) – A medicine may need to be pre-approved before it can be covered by your plan.
  • ST (step therapy) – You may need to try a more cost-effective drug first before other drugs may be covered.
  • QL (dispensing or quantity limits) – You may only be able to get a certain amount of your drug at one time. Review new dispensing limits.

Prescription Drug Tiers

Your health plan’s prescription drug list has many levels of coverage, called payment level tiers. Your pharmacy benefit has up to 6 payment level tiers.

Most often, the lower the tier, the lower your out-of-pocket costs will be for the drug.

Each tier has a different cost.  You could be paying more – or less – for your drug based on the 2020 tier.

Drugs No Longer Covered

Here are some commonly used drugs that are no longer covered as of January 1, 20202 and covered alternatives.

Generic Brand Specialty
METAXALONE AURYXIA REXULTI COPAXONE
MUPIROCIN CREAM CHLORZOXAZONE SENSIPAR OMNITROPE
CIALIS SOOLANTRA XELJANZ XR
COLCHICINE SUBOXONE
COLCRYS TRADJENTA
FINACEA TROKENDI XR
MINIVELLE ULORIC
RANEXA

2020 Drug List

Here’s your 2020 drug list (for coverage that renews or starts on or after January 1, 2020).

Please note:

  • Some drugs may be covered under your health care plan’s medical benefits instead of your pharmacy benefits.
  • Drugs covered under your medical benefit must be given to you by a health care provider.
  • If you are taking or prescribed a drug that is not on your plan’s drug list, call the number on your member ID card to see if the drug may be covered by your plan’s medical benefits.

Drug Coupons

If you use a drug manufacturer’s coupon or copay card to pay for a covered prescription drug, this amount will not apply to your plan deductible or out-of-pocket maximum (unless it is a permitted third-party cost sharing payment).

 

Your Next Steps

Talk with your doctor about:

  • Lower-cost alternatives if your drug moves to a higher tier
  • Other options if your drug is no longer covered (often a covered generic or brand alternative may be available)
  • Sending an authorization request to us, or changing your prescription, if your drug has a new special requirement
  • Ordering your prescriptions to be filled at in-network pharmacies

Your doctor or pharmacist can answer questions or concerns you may have about your prescribed medications.  Pharmacy selections and your care are always between you and your doctor.

 

More Suggestions For You

Understand Health Care Plans

Find Out What's Next After Applying

Find Glossary Terms

We’re Here to Help You!

Send us a question or request more information.  Our team is here to help you get a 2020 health care plan for yourself or family.

 

 

Please send us your question so a licensed agent can contact you.

Please enter a valid first name

Please enter a valid last name

Please enter a valid phone number

Please enter a valid email address

How would you prefer to be contacted?

Please enter a question

You must be at least 18 years old to submit a request.

*Required

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.

We can send you an email with information on our health care plans.

Please enter a valid first name

Please enter a valid last name

Please enter a valid email address

Please enter a valid phone number

If you provide a phone number, an agent may call you to make sure that you received the information and to answer any questions that you might have.

You must be at least 18 years old to submit a request.

*Required

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.

Please fill out the form below and a Blue Cross and Blue Shield of Oklahoma authorized agent will contact you within 1 to 2 business days. They will schedule an appointment at a time and location that is convenient for you. There is no cost or obligation for this service.

Please select the product you are interested in:

Please enter a valid first name

Please enter a valid last name

Please enter a valid email address

Please enter a valid date of birth (MM/DD/YYYY)

Please enter a valid city

Please select a state

Please enter a valid zip code

Please enter a valid phone number

You must be at least 18 years old to submit a request.

*Required

Thank you!

Your information has been received.

Sorry!

There has been an error with your submission.

Sales Questions and Additional Plan Information:
1-866-793-8111

Calls may or may not be answered inside the United States.

Monday – Friday: 8 a.m. – 8 p.m. CT
Saturday: 8:00 a.m. – 6:00 p.m. CT
Sunday: 10:00 a.m. – 2:00 p.m. CT

Customer Service:
1-866-520-2507

Calls may or may not be answered inside the United States.

Monday – Friday: 7 a.m. – 8 p.m. CT
Saturday: 8 a.m. – 5 p.m. CT
Sunday: Closed

Already a member?
Call the Customer Service number on the back of your member ID card.

1 Coverage is based on the terms and limits of your plan. For some drugs, you must meet certain criteria before prescription drug coverage may be approved.

2 Commonly used drugs that are no longer covered may not apply to all strengths/formulations. Third-party brand names are the property of their respective owners. Drugs that have not received U.S. Food and Drug Administration (FDA) approval are not covered.