Get the most current information on drugs covered in your BCBSND health insurance plan.
Get the most current information on drugs covered in your BCBSND health insurance plan.
Download and print the information that applies to you.
Brand name and generic prescription drugs reimbursed at maximum payment levels by BCBSND
BCBSND Formulary - updated October 2020
Latest Additions and Deletions - updated October 2020
2019 BlueCare, BlueDirect, BlueEssential, BluePartner and SimplyBlue Formulary - updated November 2020
2020 BlueCare, BlueDirect, BlueEssential, BluePartner and SimplyBlue Formulary - updated November 2020
2021 BlueCare, BlueDirect, BlueEssential, BluePartner, BluePrime and SimplyBlue Formulary
Prescription drugs not covered by BCBSND
Nonpayable Drug List - updated October 2020
Drugs that have a dispensing limit and/or require prior approval
Restricted-Use Prior Approval Drugs - updated November 2020
Restricted-Use Opioids - updated November 2020
Restricted-Use Step Therapy Drugs - updated August 2020
Restricted-Use Insulin - updated August 2020
Restricted-Use Drug Dispensing Limits - updated July 2020
Medications or drugs that are generally high in cost and/or require special administration, limited availability, unique delivery and dispensing, or patient support or monitoring
Specialty Drug List - updated November 2020
2021 BlueCare, BluePartner nonHDHP, BluePrime, SimplyBlue Value Based Design (VBD) Drug
Drugs covered under an HSA preventive drug benefit
The HSA Preventive Drug benefit is not included with all benefit plans. Please review your benefit plan materials to determine coverage. Contact customer service using the number on the back of your Insurance ID card with any questions.
2021 HSA Preventive Drug - updated November 2020
2020 HSA Preventive Drug - updated February 2020
2021 BlueDirect, BluePartner HDHP Preventive Drug
Non-prescription drugs covered by BCBSND when dispensed by a pharmacist upon receipt of a prescription order.
Over-the-Counter Medications List - updated November 2019
A prescription medication or drug with an excluded pharmacy benefit route of administration will reject at pharmacy point of sale and may be covered under the medical benefit.
Routes of Administration Pharmacy Benefit Exclusion List
Information specific to NetResults
NetResults Formulary - updated October 2020
2021 NetResults HSA Preventive Drug List - updated November 2020
2020 NetResults HSA Preventive Drug List - updated January 2020
NetResults Value Based Design Drug List - updated November 2020
NetResults Restricted Use List - Opioids - updated November 2020
NetResults Quantity Limit Program Summary - updated April 2020
Get information on your prescription drug coverage and usage:
Prime Therapeutics is an independent company that helps in the administer of BCBSND’s pharmacy benefits.