Members can search the online pharmacy directory to find a participating pharmacy near their home or office. Or, they can search for a pharmacy by name or zip code.
This section includes information about the three-tier and four-tier pharmacy copay plan designs. Included is a link to our Most Commonly Prescribed Drugs list of preferred brand-name drugs for members with a three-tier copay plan design.
Online Refills for Mail Order Prescriptions
Members currently enrolled in the PrimeMail prescription drug program can submit refills online. The service is available 24 hours-a-day, seven days-a-week.
BCBSTX Standard Drug List
The Standard Drug List includes a list of preferred drugs selected by Blue Cross and Blue Shield of Texas (BCBSTX) based upon clinical recommendations of the Prime Therapeutics National Pharmacy and Therapeutics committee. Drugs are recommended for addition to the Drug List after considering safety, efficacy, uniqueness, and cost. Physicians are encouraged to prescribe drugs in this list.
BCBSTX Generics Plus Drug List
The Generics Plus Drug List is adapted from the current standard drug list and includes both non-specialty and specialty drugs for all major therapeutic categories. The generics plus drug list is reflective of the increased availability of generic drugs, but does include brand medications that have demonstrated therapeutic advantages over other agents.
Prior Authorization/Step Therapy Programs
The BCBSTX prior authorization/step therapy program is designed to encourage safe, cost-effective medication use. Most standard products plans include this program. Self-insured and custom fully insured groups offer a variety of these programs to help effectively manage their prescription drug benefit.