The Blue Cross and Blue Shield of Nebraska (BCBSNE) drug formulary is a list of drugs that are covered under your plan. Formulary drugs are medications recommended by the Blue Cross and Blue Shield of Nebraska Pharmacy and Therapeutics Committee. These drugs are selected based on a quality evaluation of safety, effectiveness, unique qualities and cost.
Some BCBSNE plans offer the Generics Plus formulary. You can visit www.myprime.com to search the online formulary or download it here.
IMPORTANT: The formularies may be updated at any time without notice. Please be aware that including a medication on a formulary does not ensure coverage.
List of Covered Drugs on Marketplace Plans
IMPORTANT: These drug lists may be updated at any time without notice. Please be aware that including a medication on a drug list does not ensure coverage.
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, Blue Cross and Blue Shield of Nebraska requires that benefits for certain drugs be preauthorized. Please view the list of those medications. Your health care provider will need to complete the applicable preauthorization form and fax or mail it to us. Other medications that may require preauthorization are also found in the Medical Policy Manual and include, but not limited to, the Proton Pump Inhibitor’s, GI protective NSAIDs, HMG Co-A reductase inhibitors (statins), and leukotriene modifiers.
Oral Oncology Medications
Beginning October 1, 2012, benefits for orally administered cancer drugs will change for some benefit plans. A listing of these oral oncology medications can be found here.