The Blue Cross and Blue Shield of Nebraska (BCBSNE) Preferred Prescription Drug List, also called a formulary, is a list of drugs included in most prescription drug benefits. Coverage of these drugs is subject to your prescription benefit plan design. Please review your prescription drug plan along with the formulary list to determine coverage. In order to do so, you may log in to your myBlue online account and search for covered formulary drugs, or you may contact the Member Services Department at the phone number listed on the back of your BCBSNE member ID card.
Formulary drugs are medications recommended by the BCBSNE Pharmacy and Therapeutics Committee. These drugs are selected based on a quality evaluation of safety, effectiveness, unique qualities and cost.
Generics Plus Preferred Drug List
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
Small Group 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. Please use this form if requesting a medication that is not covered under plan. Not all medications are covered based on coverage guidelines provided in your member contract or per federal or state regulation.
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 or search all medical policies at Med Policy Blue. Your health care provider will need to complete the applicable preauthorization form and fax or mail it to us.
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.