Blue Shield of California Log in / Create account Pharmacy Drug formularies Pharmacy networks Member resources Pharmacy FAQs Drug formularies Learn about prescription drug coverage and view our formularies. You can also learn about the differences between preferred generic and brand-name medications covered under your outpatient prescription drug benefit. Our prescription drug formularies are updated monthly and formulary change announcements are updated quarterly. You can read about the recent changes. Have questions? Check out formulary FAQs. Find drugs covered by plan Large group plans 101+ employee groups Small group plans 1-100 employee groups Individual and Family Plans IFP and Covered California Medicare Individual and Employer Group plans Part D Pharmacy networks Blue Shield of California commercial plans have two pharmacy network types: Rx Ultra and Rx Spectrum. Both networks provide you with access to over 68,000 convenient retail pharmacies nationwide including grocery, discount, and drug stores. Rx Ultra network is the pharmacy network type for Individual and Family Plans, Covered California plans, and most Large Group plans. This network allows you to visit any participating network pharmacy. You will be responsible for the copay or coinsurance listed in your benefits. If your plan has a deductible, that could impact what you pay. Find an RX Ultra pharmacy If you already have pharmacy benefits through Blue Shield of California, you can log in to search the pharmacy network that is specific to your current plan. Rx Spectrum is the pharmacy network type for Small Business Trio HMO, and Small Business Tandem PPO plans and, select Large Group plans with the Rx Spectrum rider. This network offers cost savings when you fill a prescription at one of these preferred pharmacies: CVS Pharmacy, Costco, Safeway, and Vons. You can still use non-preferred network pharmacies, but you could pay a higher cost share for your prescriptions. If your Blue Shield Plan has the Rx Spectrum pharmacy network, get started on saving with one of these links: Rx Spectrum Pharmacy Locator Learn more about Rx Spectrum (PDF, 36KB) Rx90 Retail is Blue Shield’s pharmacy network type that allows you to obtain up to a 90-day supply of maintenance medications from participating retail pharmacies. You will be responsible for the 90-day supply cost share, which is three times the 30-day retail pharmacy copayment. Starting January 1, 2022, upon group renewal, Rx90 Retail is available for Small Business and most Large Group plans. Mail service pharmacy Receive up to a 90-day supply of medications by mail Specialty pharmacy Learn more about our network specialty pharmacy Medicare pharmacy network Find a pharmacy in our Blue Shield of California Medicare network $31 per prescription Saved on average by switching to a generic drug up to 90-day Supplies at retail and mail service pharmacies $0 Shipping when ordering from our mail service pharmacy Member resources Learn more about your Blue Shield pharmacy benefits and how to use them. Pharmacy forms Download forms for mail order services and direct member reimbursement Drug prior authorizations Learn about our prior authorization process as well as how to file an appeal or grievance Drug pricing tool See how much your prescription drugs will cost Pharmacy FAQs We've answered your most frequently asked questions about prescription benefits. If your question isn't listed, check your Evidence of Coverage or call the number listed on the back of your Blue Shield Member ID card for assistance. Pharmacy network FAQs Find answers to common questions on pharmacies in our network Formulary FAQs Get answers to your prescription drug questions Drug/benefits claims FAQs Learn more about your benefits and claims including vacation supply ordering and safe disposal of old drugs Pharmacy glossary Find definitions for prescription drug benefit terms Y0118_20_671A_C 08262020 Page last updated: 10/19/2021 © Blue Shield of California 1999-2021. All rights reserved. Blue Shield of California is an independent member of the Blue Shield Association. This information is not a complete description of benefits. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Blue Shield of California complies with applicable state laws and federal civil rights laws, and does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. Blue Shield of California cumple con las leyes estatales y las leyes federales de derechos civiles vigentes, y no discrimina por motivos de raza, color, país de origen, ascedencial, religión, sexo, estado civil, genero, identidad de genero, orientación sexual, edad ni discapacidad. Blue Shield of California 遵循適用的州法律和聯邦公民權利法律，並且不以種族、膚色、原國籍、血統、宗教、性別、婚姻 狀況、性別認同、性取向、年齡或殘障為由而進行歧視。 Get more information. Blue Shield of California 601 12th Street, Oakland, CA 94607. . Member support Contact us Send us feedback Forms, Prior authorization list Register for an account Download the mobile app Shop plans Individual & family plans Medicare plans Covered with an employer Our company About Blue Shield Trust Center Blue Shield Foundation News Careers Legal notices Nondiscrimination notice Terms of use Privacy Customer service (800) 393-6130/ TTY : 711 English Visit our other sites: Employers Providers Brokers Sitemap Terms of use Privacy © Blue Shield of California 1999-2021. All rights reserved. Blue Shield of California is an independent member of the Blue Shield Association. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California. Activate to launch comment card