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Prescription Drug Lists

A prescription drug list is a list of drugs available to Blue Cross and Blue Shield of Oklahoma members. These drugs are considered to be safe and cost-effective. How much you may pay out-of-pocket for prescription drugs is determined by whether your medication is on the Drug List. These prescription drug lists have different levels of coverage, which are called “tiers.” Generally, if you choose a drug that is a lower tier, your out-of-pocket costs for a prescription drug will be less.

Your doctor should consult the Drug List when prescribing drugs for you. This may help lower your out-of-pocket costs.

Please note: Health plans may administer medical and pharmacy coverage separately for select drugs. Some drugs are covered under your medical plan instead of your pharmacy benefits. These can include drugs that must be given to you by a health care provider. These drugs are often given to you in a hospital, doctor’s office or health care setting. Examples of these drugs are contraceptive implants and chemo infusion. If you are taking or prescribed a drug that is not on your plan's Drug List, call the number on your member ID card to see if the drug may be covered by your medical plan.

If you are a BCBSOK member, log in to your Blue Access for Members^SM account to check your drug list and learn more about your prescription drug benefits. Be sure to review your benefit materials for details. If you have any questions about your prescription drug benefits, call the number listed on your BCBSOK member ID card.

Prescription Drug Lists for Employer-offered Non-Metallic Plans: Small Group (1-50)
The drug lists below are used for BCBSOK health plans that are offered through your employer. These health plans are not a "metallic" health plan and were effective before January 1, 2014.

If your company has 1–50 employees, your BCBSOK prescription drug benefits may be based on the Basic Drug List or Enhanced Drug List. These drug lists are a list of drugs considered to be safe and effective.

If you are a BCBSOK member, log in to your Blue Access for Members^SM account to check your drug list and learn more about your prescription drug benefits.

View your drug list effective January 1, 2024:
- 2024 Basic Drug List
- 2024 Basic Drug List Updates Summary
- 2024 Enhanced Drug List
- 2024 Enhanced Drug List Updates Summary
- Women’s Contraceptive Coverage List
- ACA $0 Preventive Drug List
View the Commonly Prescribed Maintenance Drug List  (These are drugs taken regularly for an ongoing condition).

View a preview of your drug list effective January 1, 2025:
- 2025 Basic Drug List
- 2025 Enhanced Drug List
Prescription Drug Lists for Metallic Individual Plans
The drug lists below are used with your health plan if:
- You enrolled in a plan on your own (instead of through your employer), and
- Your plan is a "metallic" health plan, which can include a Gold, Silver, Bronze or Catastrophic plan.
Your prescription drug benefits through BCBSOK are based on a Drug List, which is a list of drugs considered to be safe and cost-effective.

To search for a drug name within the PDF Drug List document, use the Control and F keys on your keyboard, or go to Edit in the drop-down menu and select Find/Search. Type in the word or phrase you are looking for and click on Search.

View your drug list effective January 1, 2025 (for 2025 coverage):
- 2025 6 Tier Drug List
- 2025 4 Tier Drug List
Starting January 1, 2025, some changes will be made to the prescription drug benefit. Review the 2025 changes.

View your current drug list effective January 1, 2024:
Starting January 1, 2024, some changes will be made to the prescription drug benefit. Review the 2024 changes.

View the Commonly Prescribed Maintenance Drug List (These are drugs taken regularly for an ongoing condition).

If you're already a BCBSOK member, log in to your Blue Access for Members^SM  account to check your drug list and to learn more about your pharmacy benefits.

You, your prescribing health care provider, or your authorized representative, can ask for a Drug List exception if your drug is not on (or is being removed from) the Drug List. To request this exception, you, your prescriber, or your authorized representative, will need to send BCBSOK documentation. To begin this process, you or your prescribing health care provider can call the number on your ID card for more information or fill out and submit the Prescription Drug Coverage Exception form. BCBSOK will let you, your prescriber (or authorized representative) know the benefit coverage decision within 72 hours of receiving your request. If the coverage request is denied, BCBSOK will let you and your prescriber (or authorized representative) know why it was denied and may advise you of a covered alternative drug (if applicable). You can also appeal the benefit determination.

If you have a health condition and failure to take the medication may pose a risk to your life, health or keep you from regaining maximum function, or your current drug therapy uses a non-covered drug, you, your prescriber, or your authorized representative, may be able to ask for an expedited review process. BCBSOK will let you, your prescriber (or authorized representative) know the coverage decision within 24 hours of receiving your request for an expedited review. If the coverage request is denied, BCBSOK will let you and your prescriber (or authorized representative) know why it was denied and may advise you of a covered alternative drug (if applicable). Call the number on your ID card if you have any questions. You can also appeal the benefit determination.
Prescription Drug Lists for Employer-offered Metallic Plans: Small Group (1-50)
The drug lists below are used with BCBSOK "metallic" health plans that are offered through your employer. These can include Platinum, Gold, Silver, or Bronze plans.

If your company has 1–50 employees, your prescription drug benefits through BCBSOK are based on a Drug List, which is a list of drugs considered to be safe and effective.

If you are a BCBSOK member, log in to your Blue Access for Members^SM account to check your drug list and learn more about your prescription drug benefits.

View your drug list effective January 1, 2025 (for 2025 coverage):
- 2025 Drug List
Starting January 1, 2025, some changes will be made to the prescription drug benefit. Review the 2025 changes.

View your current drug list effective January 1, 2024:
- 2024 Drug List
- Women's Contraceptive Coverage List
- ACA $0 Preventive Drug List
- $0 HDHP-HSA Preventive Drug List (applies only for Blue Preferred Gold PPO^SM 418, Blue Advantage Gold PPO^SM 119, Blue Advantage Silver PPO^SM 121 and Blue Preferred Silver PPO^SM 419 plans)
On January 1, 2024, changes were made to the prescription drug benefit. Review the 2024 changes.

This drug list coverage ended December 31, 2023, with the exception of plans with an off-cycle 2024 renewal date. Check your benefit materials for details.
- 2023 Drug List
- $0 HDHP-HSA Preventive Drug List (applies only for Blue Preferred Gold PPO^SM 418, Blue Advantage Gold PPO^SM 119, Blue Advantage Silver PPO^SM 121 and Blue Preferred Silver PPO^SM 419 plans)
On January 1, 2023, changes were made to the prescription drug benefit. Review the 2023 changes.

You, your prescribing health care provider, or your authorized representative can ask for a Drug List exception if your drug is not on (or is being removed from) the Drug List. To request this exception, you and your prescriber (or your authorized representative) will need to send BCBOK documentation. To begin this process, you or your prescribing health care provider can call the number on your ID card for more information or submit a completed Prescription Drug Coverage Exception form. BCBSOK will let you and your prescriber (or authorized representative) know the benefit coverage decision within 72 hours of receiving your request. If the coverage request is denied, BCBSOK will let you and your prescriber (or authorized representative) know why it was denied and may advise you of a covered alternative drug (if applicable). You can also appeal the benefit determination.

If you have a health condition and failure to take the medication may pose a risk to your life, health or keep you from regaining maximum function, or if your current drug therapy uses a non-covered drug, you and your prescriber (or authorized representative) may be able to ask for an expedited-review process. BCBSOK will let you and your prescriber (or authorized representative) know the coverage decision within 24 hours of receiving your request for an expedited review. If the coverage request is denied, BCBSOK will let you and your prescriber (or authorized representative) know why it was denied and may advise you of a covered alternative drug (if applicable). You can also appeal the benefit determination. Call the number on your ID card if you have any questions.

View the Commonly Prescribed Maintenance Drug List (These are drugs taken regularly for an ongoing condition).
Prescription Drug Lists for Employer-offered Plans: Large Group (51 or more)
The drug lists below are used for BCBSOK health plans that are offered through your employer. If your company has 51 or more employees, your BCBSOK prescription drug benefits may be based on one of the following drug lists. These drug lists are a continually updated list of covered drugs.

If you are a BCBSOK member, log in to your Blue Access for Members^SM account to check your drug list and learn more about your prescription drug benefits.

View your drug list effective January 1, 2024:
View a preview of your drug list effective Jan. 1, 2025:
View the Commonly Prescribed Maintenance Drug List (These are drugs taken regularly for an ongoing condition).

Last Updated: Nov. 01, 2024

Prescription Drug Lists

Prescription Drug Lists for Employer-offered Non-Metallic Plans: Small Group (1-50)

Prescription Drug Lists for Metallic Individual Plans

Prescription Drug Lists for Employer-offered Metallic Plans: Small Group (1-50)

Prescription Drug Lists for Employer-offered Plans: Large Group (51 or more)