Prescription Drug Lists

A prescription drug list (PDL), also called a formulary, is a list of drugs included with most plans prescription drug benefits. Coverage of these drugs is subject to your benefit plan's design. Please review your PDL along with the prescription drug list to determine coverage. Prescription drugs are medications recommended by our Pharmacy and Therapeutics Committee. These drugs are selected based on a quality evaluation of safety, effectiveness, unique qualities and cost to ensure you are receiving the best care you possibly can.

Your PDL is specific to the health plan in which you are enrolled. You can manage your medicines and view your correct PDL online. Login to myNebraskaBlue.com.

The PDL may be updated at any time without notice. Please be aware that a medication listed on a PDL does not ensure coverage.

You can also view the PDL as a guest on MyPrime or by downloading the list below. Be sure to select the correct plan. Contact Member Services at the phone number listed on the back of your member ID card if you do not know in which plan you are enrolled.
Search the PDL list on MyPrime.com

Prescription Drugs Requiring Preauthorization

As part of our efforts to address the serious issue of escalating costs and continue to provide you with access to quality and cost-effective pharmacy care, BCBSNE requires that benefits for certain drugs be preauthorized. Please view the  Medications Requiring Preauthorization. Your doctor will need to complete the applicable preauthorization form.

Oral Oncology Medications

Oral oncology medications filled through an in-network specialty pharmacy may be covered at no cost to you. View the list of Orally Administered Cancer Medications.

Two-Tier Generic Drug List

A two-tiered generic medications benefit design features a generic drug list with two levels of member cost-share amounts for generic prescription medications. This design provides an incentive for you to request lower-cost generic medications from your health care provider whenever possible. View the Two-Tier Generic Drugs.