BCBSND Pharmacy Information

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Drug Formulary
Brand name and generic prescription medications or drugs reimbursed at maximum payment levels by BCBSND.


Generic Plus Formulary
 - updated October 2014
The Generic Plus Drug List shows many commonly prescribed and clinically useful generic drugs and selected brand drugs to provide coverage for a broad range of diseases.

 
PDFBlueCare, BlueDirect and BlueEssential Formulary - updated April 2015


Nonpayable Drugs
Prescription drugs not covered by BCBSND.

 

Restricted-Use Drugs
Drugs that have a dispensing limit, step therapy requirement and/or require prior approval. If you need to request an override for a dispensing limit or step therapy drug, the override forms can be found on our Forms & Documents page in the Pharmacy section.

 

Specialty Drugs
Medications or drugs that are generally high cost and may have other considerations such as special administration, limited availability, unique delivery and dispensing, or unique and/or required patient support or monitoring.

 

Over-the-Counter Medications
Non-prescription drugs covered by BCBSND when dispensed by a pharmacist upon receipt of a prescription order.

 

Forms

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