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How Drug Benefits Work | Prescription Drug Search | Copay Tier | Prior Approval and Limitations | Injectable Medications | Over-the-Counter Medications | Medication Safety | Preventive Rx
Drug Search for Non-BCBSNC Members
Search prescription drug and pharmacy services information for current 2012 health insurance plans.
Medicare Customers: There's a drug search just for you.
BCBSNC Member Drug Search
Get detailed prescription drug information as it relates to your health insurance plan by logging in to Member Services.
Prescription Drug Formularies
Formularies are lists of brand-name and generic prescription drugs that have been reviewed by BCBSNC. The lists are intended to help you know more about the prescription drugs covered under your health insurance plan.
Basic Formulary: This is a closed formulary with 5 tiers for Blue SelectSM and Blue ValueSM plans.
Retail Specialty Drug Network
Some specialty drugs must be purchased at a BCBSNC retail specialty drug network pharmacy in order for those drugs to be covered. Learn more about our retail specialty drug network. You can also download the specialty drug list.
The Tier 4 (Enhanced) and Tier 5 (Basic) formularies are copayment tiers of drugs that are assigned into categories, such as drug usage, cost and clinical effectiveness.
To find out if the Tier 4 (Enhanced) or Tier 5 (Basic) formularies apply to you, please refer to your benefit booklet or your BCBSNC member ID card.
Prime Therapeutics, LLC is an independent company providing pharmacy benefit management services. Medco Health Solutions, Inc., is an Express Scripts Holding Company.