If you get your Blue Cross and Blue Shield of Texas (BCBSTX) health care coverage through your job, changes to your 2023 pharmacy benefit program may start on January 1, 2023.1
Check if any of these changes may impact you. You can also learn how to get the most of your pharmacy benefits. Be sure to come back to this page often for any changes to your drug list.
Look Up Prescription Drugs
Starting January 1, 2023, some prescription drugs:
- Will move to a higher or lower drug tier
- May be added to or removed from the drug list
- Have new additional requirements
To find out if your medication is impacted2, you can review 2023 prescription drug list changes.
2023 Drug List
Here’s your 2023 drug list (for coverage that renews or starts on or after January 1, 2023):
In-Vitro Fertilization (IVF) Drug List (This applies only to those plans with in-vitro fertilization (IVF) coverage)
$0 HDHP-HSA Preventive Drug List (This applies only for Blue Advantage Gold HMOSM 103, Blue Advantage Gold HMOSM 103-in vitro, Blue Advantage Silver HMOSM 101, Blue Advantage Silver HMOSM 101-in vitro, Blue Choice Gold PPOSM 103, Blue Choice Gold PPOSM 103-in vitro, Blue Choice Silver PPOSM 101 and Blue Choice Silver PPOSM 101-in vitro plans)
Please note that some drugs may be covered under your health plan’s medical benefits instead of your pharmacy benefits.2
- Medical benefits: drugs covered under your medical benefits must be given to you by a health care professional in a hospital, office or health care setting.
- Pharmacy benefits: drugs covered under your pharmacy benefits are prescribed medicines you can take on your own.
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 plan’s medical benefits.
Your doctor or pharmacist can answer questions or concerns you may have about your prescribed medications. Pharmacy selections and your care are always between you and your doctor.