Pharmacy and drug tools

Get the most current information on drugs covered in your BCBSND health insurance plan.

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Pharmacy tools

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Drug Formularies

Brand name and generic prescription drugs reimbursed at maximum payment levels by BCBSND

BCBSND Formulary - updated July 2020
Latest Additions and Deletions - updated July 2020
2019 BlueCare, BlueDirect, BlueEssential, BluePartner and SimplyBlue Formulary - updated July 2020
2020 BlueCare, BlueDirect, BlueEssential, BluePartner and SimplyBlue Formulary - updated July 2020

Nonpayable Drugs

Prescription drugs not covered by BCBSND

Nonpayable Drug List - updated July 2020

Restricted-Use Drugs

Drugs that have a dispensing limit and/or require prior approval

Restricted-Use Prior Approval Drugs - updated July 2020
Restricted-Use Opioids - updated July 2020
Restricted-Use Step Therapy Drugs - updated July 2020
Restricted-Use Insulin - updated July 2020
Restricted-Use Drug Dispensing Limits - updated July 2020

Specialty Drugs

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 July 2020

HSA Preventive Drugs

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.

2020 HSA Preventive Drug - updated February 2020

Over-the-Counter Medications

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

NetResults

Information specific to NetResults 

NetResults Formulary - updated July 2020
NetResults HSA Preventive Drug List - updated January 2020
NetResults Restricted Use List - Opioids - updated July 2020
NetResults Quantity Limit Program Summary - updated April 2020

Where To Find Prescription Drug Information

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.