For details about the prescription drug plan, including copayment explanations, exclusions, limitations, and how the plan works, please see the Plan Contracts.
Employees can access an up-to-date, searchable database of medications and treatments on the Formulary when they log into the Blue Cross member portal.
Prescription Drug Formulary
|Tier 1 - Generic||$10|
|Tier 2 - Preferred Brand||$30|
|Tier 3 - Non-preferred Brand||$60|
|Tier 4 - Specialty||$100|
|Mail Order Prescriptions||90 days for 2 copays|
ATTENTION HDHP MEMBERS: The costs for all prescriptions not listed on the HDHP Preventive List are subject to the HDHP deductible. Benefits will not begin until the deductible is met on the HDHP plan.
HDHP Preventive Drug List
For those enrolled in the now HSA compatible High Deductible Health Plan (HDHP), listed preventive medications are covered at 100% and not subject to your plans deductible. Review the HDHP Preventive Drug List with your provider regarding any medications you are taking now or may take in the future.
This list is subject to change by the carrier. For the most up-to-date information, visit the Blue Cross of Idaho member portal, members.bcidaho.com.
CVS Mail Order Pharmacy is Now Available
Getting your ongoing prescription medication is even easier with the CVS Caremark® Mail Order Pharmacy. Have your maintenance medications (medications you take regularly for a long-term or chronic condition) delivered directly to you, with no additional cost- and you’ll even save money as well as time.
You can get a 90-day supply of your maintenance medication for 2 copays
Temperature-sensitve items are shipped wtih ice packs in coolers and/or express delivery
Get started by logging into your Blue Cross of Idaho member portal – select Prescription Drugs – Benefits and Coverage – Access Your Pharmacy Benefits Now. You will be redirected to the CVS Caremark site where you can select Prescriptions and Start Mail Service.