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Keep Me Informed

Frequently Asked Questions

Do you have questions about your outpatient drug benefits? Below we have answered your most frequently asked questions.

Pharmacy Benefit Changes for 2014

Learn about the new benefits for 2014, and some changes to existing benefits. See the 2014 Blue Cross and Blue Shield Service Benefit Plan brochure (RI 71-005) for official statement of benefits.

Drug Formulary

Find out more about our formulary and the preferred generic and brand name drugs covered under your pharmacy benefit.

Drug Benefits

Get answers to commonly asked questions about pharmacy copayments, coinsurance and benefits.

Mail Service Pharmacy Program

Get information on how our mail service pharmacy benefit works.

Specialty Pharmacy Program

Get information on how our specialty pharmacy benefit works.

Prior Approval

Learn about the process and how to obtain prior approval for drugs.

Pharmacy Claims and Providers

Get more information about pharmacies in our network and how to get reimbursed when you pay out of pocket.

Pharmacy and Therapeutics - P&T

Learn about the Pharmacy and Therapeutics Committee and the processes for reviewing and selecting drugs for the formulary.

Important Information for Standard Option members who live in Germany

Learn about special drug shipping requirement for members living in Germany.