Browse Prescription Drug List

A formulary (also known as a Prescription Drug List or PDL) is a list of the most commonly prescribed medications covered by your plan. The list includes both brand-name and generic prescription medications approved by the Food and Drug Administration (FDA). Medications are listed by common categories or classes and placed in tiers that represent the cost you pay out of pocket. This makes it easier for you and your doctor to find other options to help you save money. To make sure you are viewing the correct prescription drug list, log in to your member account.

As an alternative, you can access all the Prescription Drug Lists below. But remember it is best to log in to your account to check your specific prescription drug list:

Employer-Covered members: View prescription drug list here

Individual & Family plan members: View prescription drug list here

Blue KC may make changes to the formulary (prescription drug list) over the course of the year. If you received a letter about a formulary change, it means that one or more of your medications is being reclassified, resulting in price changes, updated authorization requirements, and/or new quantity limitations. Formularies undergo changes because new medications are continuously introduced to the market and additional research can result in existing medications gaining approval for new uses and treatments. This results in lower-cost alternatives becoming available to treat a condition you may have. To make sure you are viewing the correct prescription drug list, log in to your member account and refer to the Prescription Drug List section and link.

As an alternative, you can access all the Prescription Drug Lists below. But remember it is best to log in to your account to check your specific prescription drug list:

Employer-Covered members: View prescription drug list here

Individual & Family plan members: View prescription drug list here

When a medication changes tiers, you may pay more or less for that medication, depending on the tier change. If one of your medications changes to a higher tier, talk with your doctor to decide if a lower-cost option may be available.

The Prescription Drug List (PDL) is a list of prescription medications that have been reviewed and recommended by the Blue KC Medical and Pharmacy Management Committee. The list has a combination of brand name and generic medications. Each of these medications has been reviewed for its safety, effectiveness, clinical outcomes, and cost. Physicians and pharmacists on the committee look at drug utilization issues, the number of adverse events, and any proven advantages over other drugs on the PDL. The most efficient and cost effective drugs are on Tier 1 of the PDL. All other drugs are designated Tier 2 or Tier 3 status.

To make sure you are viewing the correct prescription drug list, log in to your member account and refer to the Prescription Drug List section and link.

As an alternative, you can access all the Prescription Drug Lists below. But remember it is best to log in to your account to check your specific prescription drug list:

Employer-Covered members: View prescription drug list here

Individual & Family plan members: View prescription drug list here