I Want to See

2016 Essential Formulary Reference Guide

2016 Essential Formulary Guide for Individual and Small Group Plans
*Does not apply to the following Small Group plans. For these plans, please refer to the 2016 Essential Formulary with Preventive Drug Copays:

  • BlueCross SG Bronze 11
  • BlueCross SG Silver 23
  • BlueCross SG Silver 25
  • BlueCross SG Silver 28

  • BlueCross SG Gold 24
  • BlueCross SG Gold 25
  • BlueCross SG Gold 26

2016 Essential Formulary with Preventive Drug Copays
*Applies to the following Small Group plans:

  • BlueCross SG Bronze 11
  • BlueCross SG Silver 23
  • BlueCross SG Silver 25
  • BlueCross SG Silver 28

  • BlueCross SG Gold 24
  • BlueCross SG Gold 25
  • BlueCross SG Gold 26