Find a drug

2009 formulary

Drugs on the 2009 formulary can be found in the links below.

	2009 Blue Medicare Rx Standard		2009 Blue Medicare HMO Standard
	2009 Blue Medicare Rx Enhanced		2009 Blue Medicare HMO Enhanced/PPO Enhanced/PPO Enhanced Plus

2010 formulary

Drugs on the 2010 formulary can be found in the links below, and are also listed on the table below.

	2010 Blue Medicare Rx Standard		2010 Blue Medicare HMO Standard
	2010 Blue Medicare Rx Enhanced		2010 Blue Medicare HMO Enhanced/PPO Enhanced/PPO Enhanced Plus

To search for a generic or brand name drug, select the first letter of the drug from letters above the chart below. The index will display all the drugs beginning with that letter in alphabetical order, so that you can scan the list for your drug.

Table legend
'Tier' refers to the level of coverage for each medication. The tier levels are the following:

1	Tier 1 medications are generic medications and have the lowest copayment.
2	Tier 2 medications are preferred brand name medications and have the second-lowest copayment.
3	Tier 3 medications are non-preferred brand name medications and have the second-highest copayment.
4	Tier 4 medications are medications classified by BCBSNC as specialty drugs. Tier 4 medications are typically prescribed by a specialist, have unique uses, and may require special dosing and administration. Tier 4 medications generally cost more than other drugs, and members must pay a coinsurance amount for them.

Prior authorization and quantity limitations

For drugs noted as requiring prior authorization, information may need to be submitted describing the use and setting of the drug to make the determination.

For drugs noted as requiring step therapy, members are required to first try certain drugs to treat their medical condition before we will cover another drug for that condition.

Quantity limitations encourage the appropriate use and dose of prescribed medication based on the U.S. Food and Drug Administration (FDA) approved labeling and other medical literature. To receive a quantity of medication that exceeds the limit, the member must meet certain criteria.

The Drug Search information listed below refers to the 2010 formulary.

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Blue Medicare HMO and Blue Medicare PPO plans are offered by PARTNERS National Health Plans of North Carolina, Inc. (PARTNERS), a subsidiary of Blue Cross and Blue Shield of North Carolina (BCBSNC). PARTNERS is a Medicare Advantage organization with a Medicare contract to provide HMO and PPO plans. Plans are administered by BCBSNC. BCBSNC and PARTNERS do not discriminate based on color, gender, religion, national origin, age, race, disability, handicap, sexual orientation, genetic information, source of payment or health status as defined by the Centers for Medicare & Medicaid Services (CMS). All qualified Medicare beneficiaries may apply. You must be entitled to Medicare Part A and enrolled in Medicare Part B and must reside in the CMS-approved service area. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or another third party. BCBSNC and PARTNERS are independent licensees of the Blue Cross and Blue Shield Association.

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The information on this page is current as of 3/1/2010.