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Limited Formulary

Limited Formulary

Pharmacy benefit plans that use the Limited Formulary focus on the safe and effective use of generic drugs.. These plans do cover selected brand-name drugs for certain drug classes, but for several classes only generics are covered. Check your benefit materials or log in to BlueAccess to learn more about which drugs are covered by your plan.

pdf file The lists below require Adobe Reader in order to view them.

OTC Medications

Many medications are available over the counter (OTC) at a cost less than their prescription drug counterparts. The Limited Formulary does not cover certain prescription allergy treatment drugs and stomach disorder drugs that have OTC alternatives.

View a list of prescription drugs not covered by your plan and their OTC alternatives

Page Modified:May 18, 2012