The Formulary lists the brand name or generic name of a given drug. If a medication does not appear on this Formulary, the medication is not covered under the pharmacy benefit. In some instances, a medication may require a prior authorization. A prior authorization form will need to be completed by the prescriber and submitted to BCBSTX before the prescription may be filled. To obtain the prior authorization form for medications that require prior authorization, please contact Prime Therapeutics Customer Service for STAR, CHIP and STAR Kids.
- STAR and CHIP: 1-855-457-0407
- STAR Kids: