personal benefits information
Pharmacy Claim
Search — Your prescriptions claims history, including prescription number, date
filled, prescriber, quantity, pharmacy, amount paid by you and amount paid by your
pharmacy plan.
Note: To access information about your personal pharmacy claims, you must
register to use
My Blueprint, our member self-service center.
Network Pharmacy Search —
Search for a network pharmacy by name, city, state or zip code. Maps and driving
directions are provided.
to keep you informed
Find Drug Information — Information
about medications, their use, how to take them, and possible side effects.
to serve you better
Federal Employee Program (FEP) —
Information on providers, pharmacy programs, benefits and resources for federal
employees.
Mail-Order Drugs — A description of the mail-order option
some employers have chosen for their employees and a link to the mail-order form.
Prescription Claim Form (PDF) — Printable form in portable document format (PDF).
Specialty Drugs — A description of the program that
covers injectable and select oral medications.
Using Your Pharmacy Benefits — How to use your
benefits and the advantages your pharmacy plan offers you.
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go generic
Go Generic — Information about the cost and quality of
generic drugs, including:
printable drug lists
Please see Medi-Pak Choice for Medi-Pak Rx (PDP) and Medi-Pak Advantage MA-PD (PFFS) formulary and prior authorization information.
Formulary One-2012 (PDF)
Formulary Two-2012 (PDF) — (formerly called Complete Care)
Formulary Three (PDF) — Commonly Prescribed Covered Drugs
Formulary Three (PDF) — Commonly Prescribed Drugs Not Covered
Maintenance Drugs (PDF) — Medications considered to be necessary for long periods of time.
Prior Authorization List (PDF) — Medications that require prior approval. For authorization, call 1-877-433-2973.
Value Formulary-2012 (PDF)
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