Most health plans provide coverage for medically necessary prescription drugs. These drugs are listed in a formulary, which is a list of approved medications. Health plans must make their formulary available online, and the out-of-pocket costs for medications will depend on whether the drug is included in the formulary and, if so, what level of medication it is. Individuals and families enrolled in Covered California or Blue Shield of California can access prescription drug benefits.
To find the formulary that applies to you, check your proof of coverage or insurance certificate to determine the name of your plan. The names of the plans are listed above each form in the list provided by the California Physicians Service (DBA Blue Shield of California), which is an independent member of the Blue Shield Association.