Pharmacy

Pharmacy Benefit Information

Pharmacy Benefit Information for members on the following plans: Individual/Family Plans and Employer-offered large and small group plans.

Formularies: List of Covered Prescription Drugs

To view your list of covered prescription drugs, select a formulary below specific to your plan.

Prescription Drug Tools and Cost Calculator (coming soon)

Select a plan to check the costs of your medications, look-up drug coverage, and search for pharmacies.

ACA Preventive Care Medications

Under the Affordable Care Act, also known as the healthcare reform law, BSWHP covers preventive care medications at 100% without charging a copay, coinsurance or deductible. The following list of drugs and products require a prescription (including over-the-counter medications) and must be filled at a network pharmacy to be covered at no cost share.

Pharmacy Information and Locations

BSWHP Specialty Pharmacy Drug Program

BSWHP Upcoming Formulary Changes

BSWHP Medications Restricted to Pharmacy or Medical Benefit

BSWHP has certain medications that are restricted to the Pharmacy or Medical Benefit. For more information on these medications, visit the link below:

• BSWHP Medications Restricted to Pharmacy or Medical Benefit

Need more detailed pharmacy information?

• Drug Requests - Prior Authorizations, Exceptions and Appeals