Prescription Drug Coverage for FEHB
Take a closer look at our prescription drug coverage and pharmacy programs.
Important Information about the 2026 Weight Loss GLP-1 Formulary Changes
Some 2026 MPDP drug lists may currently show Wegovy in the wrong tier. The correct tier for Wegovy is Tier 2 for members with FEP Blue Standard®, FEP Blue Basic®, and FEP Blue Focus® plans. We're updating the lists, and the correct tier will be reflected soon.
Pharmacy coverage you can count on
We want to make sure you and your family have convenient access to the prescription drugs you need.
The drug list includes all covered prescription drugs, including generic, brand name and specialty drugs for your plan.
You can fill your prescriptions at over 55,000 retail pharmacies, through the FEP Mail Service Program or the FEP Specialty Pharmacy Program.
2026 Drug Lists
FEP Blue Focus
FEP Blue Basic
FEP Blue Standard
2025 Drug Lists
FEP Blue Focus
FEP Blue Basic
FEP Blue Standard
Filling your prescriptions
Retail Pharmacy Program
Pick up your prescriptions conveniently at one of our more than 55,000 in-network pharmacies.
FEP Mail Service Pharmacy Program
If you’re a FEP Blue Standard member or FEP Blue Basic member with Medicare Part B primary, get your prescriptions delivered directly to your door.
FEP Specialty Pharmacy Program
Exclusively for members who are prescribed specialty drugs, this program helps you get them at a reasonable cost.
Get access to over 55,000 retail pharmacies nationwide
We have a network of over 55,000 Preferred retail pharmacies nationwide to fill your prescriptions. Use our pharmacy locator tool to find one near you.
Find a Pharmacy
Drug tiers
We organize our covered prescription drugs into Generics, Preferred Brand Name, Non-preferred Brand Name, Preferred Specialty and Non-preferred Specialty, which are known as tiers. The amount you pay for a drug depends on the tier. In general, the lower the drug tier, the less you pay.
Prescription drug benefits for 2026
| FEP Blue Focus | FEP Blue Basic | FEP Blue Standard | |
|---|---|---|---|
| Retail Pharmacy |
Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply Preferred brand: 40% coinsurance |
Generics: $15 copay for up to a 30-day supply; $40 copay for a 31 to 90-day supply Preferred brand: 35% coinsurance Non-preferred brand: 60% coinsurance Preferred specialty: 35% coinsurance Non-preferred specialty: 35% coinsurance
Preferred specialty and Non-preferred specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program. |
Generics: $7.50 copay for up to a 30-day supply; $22.50 copay for a 31 to 90-day supply Preferred brand: 30% coinsurance Non-preferred brand: 50% coinsurance Preferred specialty: 30% coinsurance Non-preferred specialty: 30% coinsurance
Preferred specialty and Non-preferred specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program. |
| FEP Mail Service Pharmacy | Not a benefit | Available to members with Medicare Part B primary only. Visit the Medicare page for more information. |
Generics: $15 copay Preferred brand: 15% coinsurance
Non-preferred brand: 20% coinsurance |
| Specialty Pharmacy |
Preferred specialty: 40% coinsurance Specialty drugs are limited to a 30-day supply. |
Preferred specialty: 35% coinsurance Non-preferred specialty: 35% coinsurance 90-day supply may only be obtained after third fill. |
Preferred specialty: $100 copay for up to a 30-day supply; $300 copay for a 31 to 90-day supply Non-preferred specialty: $150 copay for up to a 30-day supply; $450 copay for a 31 to 90-day supply |
Prescription drug benefits for 2025
| FEP Blue Focus | FEP Blue Basic | FEP Blue Standard | |
|---|---|---|---|
| Retail Pharmacy |
Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply Preferred brand: 40% coinsurance |
Generics: $15 copay for up to a 30-day supply; $40 copay for a 31 to 90-day supply Preferred brand: $75 copay for up to a 30-day supply; $200 copay for a 31 to 90-day supply Non-preferred brand: 60% coinsurance for up to a 30-day supply Preferred specialty: $120 copay Non-preferred specialty: $200 copay
Preferred specialty and Non-preferred specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program. |
Generics: $7.50 copay for up to a 30-day supply; $22.50 copay for a 31 to 90-day supply Preferred brand: 30% coinsurance Non-preferred brand: 50% coinsurance Preferred specialty: 30% coinsurance Non-preferred specialty: 30% coinsurance
Preferred specialty and Non-preferred specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program. |
| FEP Mail Service Pharmacy | Not a benefit | Available to members with Medicare Part B primary only. Visit the Medicare page for more information. |
Generics: $15 copay Preferred brand: $90 copay
Non-preferred brand: $125 copay |
| Specialty Pharmacy |
Preferred specialty: 40% coinsurance Specialty drugs are limited to a 30-day supply. |
Preferred specialty: $120 copay for up to a 30-day supply; $350 copay for a 31 to 90-day supply Non-preferred specialty: $200 copay for up to a 30-day supply; $500 for a 31 to 90-day supply 90-day supply may only be obtained after third fill. |
Preferred specialty: $65 copay for up to a 30-day supply; $185 copay for a 31 to 90-day supply Non-preferred specialty: $85 copay for up to a 30-day supply; $240 copay for a 31 to 90-day supply |
FEP Medicare Prescription Drug Program (MPDP) for FEHB
Eligible members with Medicare get lower out-of-pocket costs for higher cost drugs and additional approved prescription drugs in some tiers than the traditional pharmacy benefit.
| FEP Blue Basic with MPDP | FEP Blue Standard with MPDP | |
|---|---|---|
| FEP Medicare Prescription Drug Program Out-of-Pocket Maximum | $2,100 per member | $2,100 per member |
| Retail Pharmacy^ |
Generics: $10 copay Preferred brand: $45 copay Non-preferred brand: 50% coinsurance Specialty: $75 copay |
Generics: $5 copay Preferred brand: $35 copay Non-preferred brand: 50% coinsurance Specialty: $60 copay |
| FEP Mail Service Pharmacy |
Generics: $15 copay Preferred brand: $95 copay Non-preferred brand: $125 copay Specialty: $150 copay |
Generics: $5 copay Preferred brand: $85 copay Non-preferred brand: $125 copay Specialty: $150 copay |
| Specialty Pharmacy† | Your specialty drug benefits are noted above | Your specialty drug benefits are noted above |
The FEP Medicare Prescription Drug Program is not available for FEHB FEP Blue Focus members.
^ What you'll pay for a 30-day supply of covered drugs. You can see what you'll pay for a 31- to 90-day supply of covered drugs in the benefits brochure.
† What you'll pay for up to a 30-day supply of covered drugs.
* You still have an overall medical out-of-pocket maximum. Your MPDP pharmacy out-of-pocket maximum is part of it, not added to it.
FEP Medicare Prescription Drug Program (MPDP) for FEHB
Eligible members with Medicare get lower out-of-pocket costs for higher cost drugs and additional approved prescription drugs in some tiers than the traditional pharmacy benefit.
| FEP Blue Focus with MPDP | FEP Blue Basic with MPDP | FEP Blue Standard with MPDP | |
|---|---|---|---|
| FEP Medicare Prescription Drug Program Out-of-Pocket Maximum | $2,000 per member | $2,000 per member | $2,000 per member |
| Retail Pharmacy^ |
Generics: $5 copay
Preferred brand: 40% coinsurance
Non-preferred brand: 40% coinsurance
Specialty: 40% coinsurance |
Generics: $10 copay Preferred brand: $45 copay Non-preferred brand: 50% coinsurance Specialty: $75 copay |
Generics: $5 copay Preferred brand: $35 copay Non-preferred brand: 50% coinsurance Specialty: $60 copay |
| FEP Mail Service Pharmacy | Not a benefit |
Generics: $15 copay Preferred brand: $95 copay Non-preferred brand: $125 copay Specialty: $150 copay |
Generics: $5 copay Preferred brand: $85 copay Non-preferred brand: $125 copay Specialty: $150 copay |
| Specialty Pharmacy† | Your specialty drug benefits are noted above | Your specialty drug benefits are noted above | Your specialty drug benefits are noted above |
^ What you'll pay for a 30-day supply of covered drugs. You can see what you'll pay for a 31- to 90-day supply of covered drugs in the benefits brochure.
† What you'll pay for up to a 30-day supply of covered drugs.
* You still have an overall medical out-of-pocket maximum. Your MPDP pharmacy out-of-pocket maximum is part of it, not added to it.
Helping you manage your prescriptions
We have programs that help you make the most of your prescription benefits and save money.
Available to members with complex health conditions who need specialty drugs, including oral, inhaled, injected and infused drugs. This program also offers personalized support, convenient delivery, digital tools and more.
Available to members at no cost, this comprehensive medication-therapy management program allows you to speak directly with a clinical pharmacist over the phone or via video chat to get help managing your medication therapy and lifestyle choices so you can reach your health goals.
For FEP Blue Standard members who switch to a generic medication, we’ll waive your cost share for your first four prescription fills or refills.
View and download the Generic Incentive Program Drug List to see if there’s an alternative generic drug that can appropriately treat your condition.
Discounts may vary, but members can save an average of 24% off some prescription drugs not covered by our pharmacy benefits.
View and download our Discount Drug Program Quick Reference Guide to learn more.
Have questions? Review our FAQs.
Your pharmacy coverage works outside the U.S., too*
Since there are no in-network retail pharmacies overseas, you need to pay for your prescriptions out-of-pocket and then submit your receipts and a completed claim form to get reimbursed. Overseas prescription drug claims must be submitted within one year of the purchase date.
Prior approval and covered equivalents
Have questions about our prescription drug coverage?
Retail Pharmacy Program
Mail Service Pharmacy
For refills, call: 1-877-FEP-FILL (1-877-337-3455)