2024 Prescription Drug List
Prescription Drug Lists
Please select your designated plan from the dropdown below and then search your specific Drug List. If you do not see your plan, please login to myBlueCross to view your specific information.
NetResults 1.0 Drug List - 4 tiers (standard)
NetResults 1.0 Drug List - 6 tiers
NetResults Alternative Drug List
NetResults ACA Preventive Drug List
Additional NetResults HSA Preventive Drug List
NetResults Value Based Design Drug List
Self-Administered Specialty Drug List
Provider-Administered Specialty Drug List
SourceRx 1.0 Drug List - 4 tiers (standard)
SourceRx 1.0 Drug List - 6 tiers
SourceRx 2.0 Drug List - 4 tiers (standard)
SourceRx Alternative Drug List
SourceRx ACA Preventive Drug List
Additional SourceRx HSA Preventive Drug List
SourceRx Value Based Design Drug List
Self-Administered Specialty Drug List
Provider-Administered Specialty Drug List
Remember that drug prices shown are general retail prices and do not take into account cost sharing amounts (copay, coinsurance, or deductibles) that may exist for specific plans. If you are a Blue Cross member sign in to myBlueCross for more specific pricing information. Also, you can refer to the specific benefit plan details to see how drugs will be covered under your plan.
Blue Cross and Blue Shield does not prescribe medication nor do we attempt to alter what your doctor has prescribed. We offer this information on prescription drugs to ensure that our members receive quality, cost-effective medications. This database provides information based on Generic, Preferred and Other Brand Drug copay/coinsurance structures. Based on this information, you may want to discuss with your doctor the options of alternative medications that will lower your copayment and/or the amount you are required to pay out of pocket.