Pharmacy Benefit Information

Formularies: List of Covered Prescription Drugs

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

Pharmacy Benefit Resources and Education

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.

• ACA Preventive Care Medications

Pharmacy Information and Locations

For 2024 pharmacy claim reimbursement requests, view the 2024 Pharmacy Claim Form.

BSWHP Specialty Pharmacy Drug Program

The Specialty Pharmacy Drug Program offers the choice of two specialty care pharmacies to help manage and access specialty drugs.

• Specialty Drug List

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