Drug Formulary

The formulary is a list of drugs covered by your plan to meet patient needs. Our Pharmacy and Therapeutics Committee has carefully chosen the drugs on the formulary for their medical effectiveness and value. We may periodically add or remove drugs, change coverage limitations on certain drugs, or change how much you pay for a drug.

Search our drug formulary by:

If your search results indicate that a drug is not covered, see Exceptions and Appeals to learn how to obtain an exception to the plan’s formulary.

Key to the drug formulary

G: the drug is available as a generic
Green checkmark: the drug is available as a brand-name drug
NP: the drug is non preferred by the plan.

Prior authorization submission

Independence Blue Cross requires Prior Authorization of certain covered drugs that have been approved by the FDA for specific medical conditions. View a listing of the Prior Authorization forms.

Formulary medications are FDA-approved and have been chosen for their reported medical effectiveness and value. Formularies are reviewed periodically to add new drugs and to remove brand-name drugs when a generic equivalent becomes available. If a drug is removed from the formulary, you will be given 60 days advance notice.

Download Formulary Changes

If you are not a current member but want more details on your employer group or Health and Welfare Fund benefit options, features, and limitations, please call us toll-free at 1-877-393-6733 (TTY/TDD 1-877-219-5457), 8 a.m. to 8 p.m., seven days a week.

Current members please call the Member Services number on the back of your ID card.