2024 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5(f). Prescription Drug Benefits
Covered Medications and Supplies
Section 5(f). Prescription Drug Benefits
Covered Medications and Supplies
Benefits Description
Opioid Reversal Agents: Tier 1 medications limited to generic naloxone nasal spray and injectable
You Pay
Preferred retail pharmacy: Nothing for the purchase of one 90-day supply per calendar year (no deductible)
Note: Once you have purchased amounts of these medications in a calendar year that are equivalent to a 90-day supply combined, all Tier 1 fills thereafter are subject to the corresponding cost-share.
Non-preferred retail pharmacy: You pay all charges
Opioid Reversal Agents: Tier 1 medications limited to generic naloxone nasal spray and injectable
You Pay
Preferred retail pharmacy: Nothing for the purchase of one 90-day supply per calendar year (no deductible)
Note: Once you have purchased amounts of these medications in a calendar year that are equivalent to a 90-day supply combined, all Tier 1 fills thereafter are subject to the corresponding cost-share.
Non-preferred retail pharmacy: You pay all charges