Healthy Blue Drug List
The medications included in the Healthy Blue drug list are reviewed and approved by the Pharmacy and Therapeutics Committee, which includes practitioners
and pharmacists from the provider community.
Please
select a drug from the list below to see all coverage details regarding the
medication. Some medications listed may have additional
requirements or limitations of coverage. These requirements and limits may
include prior authorization, quantity limits, age limits, step therapy or Center for Medicare and Medicaid Services (CMS) coverage requirements.
Medications
not listed on the drug list are considered to be non-covered and are subject
to prior authorization.
If you have any questions about coverage of a
certain product, please contact us at 1-866-781-5094 (TTY: 866-773-9634).
To report fraud, call our confidential Fraud Hotline at 1-800-763-0703 or use this form. You may also call the South Carolina Department of Health and Human Services Fraud Hotline at 1-888-364-3224 or email fraudres@scdhhs.gov.
Machine Readable Data for Prescription Drug List: Healthy Blue Machine Readable File
Healthy Blue is offered by BlueChoice HealthPlan, an independent licensee of the Blue Cross Blue Shield Association.