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MyBlue®:

Prescription Drug Coverage

Take a closer look at our prescription drug coverage and pharmacy programs.

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.

 

2025 Drug Lists

FEP Blue Focus®

FEP Blue Basic™

View Traditional Drug List

FEP Blue Standard™

View Traditional Drug List

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.

If you have questions about how to fill your prescriptions, see the bottom of this page for helpful contact information.

Try our Prescription Drug Cost Tool

Our Prescription Drug Cost Tool lets you check drug costs 24/7. See if your drug is covered under your selected plan and compare costs of covered drugs for all three plans. Please note 2025 pricing information will be available on the tool starting October 19, 2024.

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.

  • There are five drug tiers under the traditional pharmacy benefit for FEP Blue Basic™ and FEP Blue Standard™.
  • There are only two drug tiers under the traditional pharmacy benefit for FEP Blue Focus®.
  • There are four drug tiers under MPDP for all our plans.

Prescription drug benefits for 2025

See 2025 benefit updates and rates here.

FEP Blue Focus® FEP Blue Basic™ FEP Blue Standard™
Preferred Retail Pharmacy

Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply

Preferred brand: 40% of our allowance ($350 max) for up to a 30-day supply; $1,050 maximum for 31 to 90-day supply


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% of our allowance ($90 minimum) for up to a 30-day supply; $250 minimum for a 31 to 90-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% of our allowance

Non-preferred brand: 50% of our allowance

Preferred specialty: 30% of our allowance

Non-preferred specialty: 30% of our allowance

 

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.

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

Covers a 22 to 90-day supply. Nothing for the first 4 prescription fills or refills when you switch from certain brand name drugs to specific generic drugs.
Specialty Pharmacy

Preferred specialty: 40% of our allowance ($350 maximum)

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

90-day supply may only be obtained after third fill.

Prescription drug benefits for 2024

See 2024 benefit updates and rates here.

FEP Blue Focus® FEP Blue Basic™ FEP Blue Standard™
Preferred Retail Pharmacy

Tier 1 (Generics): $5 copay up to a 30-day supply; $15 copay for a 31 to 90-day supply
Tier 2 (Preferred brand): 40% of our allowance ($350 maximum) for up to a 30-day supply; $1,050 maximum for 31 to 90-day supply

Tier 1 (Generics): $15 copay up to a 30-day supply; $40 copay for a 31 to 90-day supply 
Tier 2 (Preferred brand): $60 copay for up to a 30-day supply; $180 copay for a 31 to 90-day supply 
Tier 3 (Non-preferred brand): 60% of our allowance ($90 minimum) for up to a 30-day supply; $250 minimum for a 31 to 90-day supply)
Tier 4 (Preferred specialty): $85 copay
Tier 5 (Non-preferred specialty): $110 copay

Tier 4 and 5 specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program.
Tier 1 (Generics): $7.50 copay for up to a 30-day supply; $22.50 copay for a 31 to 90-day supply
Tier 2 (Preferred brand): 30% of our allowance
Tier 3 (Non-preferred brand): 50% of our allowance
Tier 4 (Preferred specialty): 30% of our allowance
Tier 5 (Non-preferred specialty): 30% of our allowance

Tier 4 and 5 specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program.
 
Mail Service Pharmacy Not a benefit Available to members with Medicare Part B primary only. Visit the Medicare page for more information. Tier 1 (Generics): $15 copay
Tier 2 (Preferred brand): $90
copay
Tier 3 (Non-preferred brand): $125 copay

Covers a 22 to 90-day supply. Nothing for the first 4 prescription fills or refills when you switch from certain brand name drugs to specific generic drugs.
Specialty Pharmacy

Tier 2 (Preferred specialty): 40% of our allowance ($350 maximum) for a 30-day supply; $1,050 maximum for 31 to 90-day supply

Tier 4 (Preferred specialty): $85 copay
Tier 5 (Non-preferred specialty): $110 copay

90-day supply may only be obtained after third fill.
Tier 4 (Preferred specialty): $65 copay for up to a 30-day supply; $185 copay for a 31 to 90-day supply 
Tier 5 (Non-preferred specialty): $85 copay for up to a 30-day supply; $240 copay for a 31 to 90-day supply

90-day supply may only be obtained after third fill.
This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal brochures (FEP Blue Standard and FEP Blue Basic: RI 71-005; FEP Blue Focus: 71-017). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.

FEP Medicare Prescription Drug Program (MPDP)


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. New for 2025: the annual pharmacy out-of-pocket maximum is $2,000 per member and separate from the medical out-of-pocket maximum.

FEP Blue Focus® with MPDP FEP Blue Basic™ with MPDP FEP Blue Standard™ with MPDP
Retail Pharmacy^

Generics: $5 copay

 

Preferred brand: 40% of our allowance ($350 maximum)

 

Non-preferred brand: 40% of our allowance ($350 maximum)

 

Specialty: 40% of our allowance ($350 maximum)

Generics: $10 copay

Preferred brand: $45 copay

Non-preferred brand: 50% of our allowance ($60 minimum)

Specialty: $75 copay

Generics: $5 copay

Preferred brand: $35 copay

Non-preferred brand: 50% of our allowance

Specialty: $60 copay

FEP Mail Service Pharmacy

(What you'll pay for up to a 90-day supply of covered drugs)

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

FEP Specialty Pharmacy Your specialty drug benefits are in Tier 4 (see above) Your specialty drug benefits are in Tier 4 (see above) Your specialty drug benefits are in Tier 4 (see above)
FEP Blue Focus® with MPDP FEP Blue Basic™ with MPDP FEP Blue Standard™ with MPDP
In-network Retail Pharmacy^

Tier 1 (Generics): $5 copay

 

Tier 2 (Preferred brand): 40% of our allowance ($350 max)

 

Tier 3 (Non-preferred brand): 40% of our allowance ($350 max)

 

Tier 4 (Specialty): 40% of our allowance ($350 max)

Tier 1 (Generics): $10 copay

Tier 2 (Preferred brand): $45 copay

Tier 3 (Non-preferred brand): 50% of our allowance ($60 min)

Tier 4 (Specialty): $75 copay

Tier 1 (Generics): $5 copay

Tier 2 (Preferred brand): 15% of our allowance

Tier 3 (Non-preferred brand): 50% of our allowance

Tier 4 (Specialty): $60 copay


FEP Mail Service Pharmacy

(What you'll pay for up to a 90-day supply of covered drugs)

Not a benefit

Tier 1: $15 copay

Tier 2: $95 copay

Tier 3: $125 copay

Tier 4: $150 copay

Tier 1 (Generics): $5 copay

Tier 2 (Preferred brand): $85 copay

Tier 3 (Non-preferred brand): $125 copay

Tier 4 (Specialty): $150 copay

FEP Specialty Pharmacy Your specialty drug benefits are in Tier 4 (see above) Your specialty drug benefits are in Tier 4 (see above) Your specialty drug benefits are in Tier 4 (see above)
Annual Pharmacy Out-of- Pocket Maximum* $3,250 per member $3,250 per member $2,000 per member

^ 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.

Specialty Pharmacy Program

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.

View Specialty Drug List

Patient-Centered Care (PCare) Program

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. 

View to Learn More

Standard Option Generic Incentive Program

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.

Discount Drug Program

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.

*The FEP Medicare Prescription Drug Program (MPDP) is only available to residents of the U.S. or a U.S. territory. Members enrolled in MPDP cannot purchase drugs overseas.
Learn More

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)

Specialty Drug Program

FEP Medicare Prescription Drug Program