Three-Tier Covered
Drug List
Understanding Your Searchable Covered Drug
List
Blue Cross and Blue Shield of Louisiana and our subsidiary, HMO Louisiana,
Inc., along with Express Scripts, an independent company that serves as our
pharmacy benefit manager, created this Searchable Covered Drug List to
help you understand your drug benefits. Because drug benefits can be complex,
understanding your benefits is key to getting the most from your health plan.
Throughout the year, our clinical staff works with our Pharmacy and
Therapeutics Committee, a group of Louisiana doctors and pharmacists who are
not employed by Blue Cross, to review published literature about the safety,
efficacy and cost of prescription drugs.
You and your doctor always make the final decision for your healthcare needs.
The information in this Searchable List can help you and your doctor
make informed decisions before you fill your next prescription. That way,
together you may choose the best drug for you while keeping your costs down.
Please talk to your doctor or pharmacist about any questions or concerns you
may have about your drug therapy.
Please Note: Inclusion of a drug in this Searchable List does not
guarantee that your doctor or other authorized prescriber will prescribe the
drug for a particular medical condition or mental illness.
Before you fill a prescription for any drug, you should take the following
steps, if needed:
1) Check to see if the drugs you take are on the Searchable List.
2) Talk to your doctor about switching to a drug that is on the Searchable
List, if needed.
How can you find information about your
drugs? Use the alphabetical, brand and generic name, or
therapeutic class search below of this Searchable List to look up a drug
you may take to quickly learn several important things:
- If
you must first try one or more prescription drugs before your plan will
cover a specific drug for your
condition
- If
your doctor must get prior authorization before your plan will pay for a
drug
- If
your plan limits the quantity that will be covered each time you fill a
prescription
Important Notes:
- This
Searchable List is intended to include all drugs that your plan
covers as of the time the Searchable List was created. But the Searchable
List may change as changes occur in the marketplace.
- This
Searchable List may not apply to all benefit plans. Some benefit
plans may have different coverage for specific drugs.
- The
Searchable List applies only to prescription drugs that network
pharmacies dispense on an outpatient basis.
- See
your member contract or certificate for pharmacy coverage for any
exclusions and limitations that apply.