Pharmacy Information

Prescription Drug Lists

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

Drug lists

Pharmacy benefit information for:

Preventive care medications

Under the Affordable Care Act, also known as the healthcare reform law, BSWHP covers some 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 filled at a network pharmacy to be covered at no cost share.

• Group Value and Group Choice Preventive Medication List
• Essential Health Benefits Preventive Medication List

BSWHP Specialty Pharmacy Drug Program

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

• BSWHP Specialty Pharmacy Program

BSWHP upcoming formulary changes

• Monthly Group Value and Group Choice Formulary Changes
• Monthly Essential Health Benefits Formulary Changes

Pharmacy information and locations

• Baylor Scott & White Mail Order Form
• OptumRx Pharmacy Mail Order Form
• Pharmacy Claim Form
• Provider Directory and Pharmacy Locator (Find network pharmacies)

Need more detailed pharmacy information?

• Drug Requests - Prior Authorizations, Exceptions and Appeals

Learn more about your prescription drug costs for the Individual Plans:

• Prescription Drug Cost Calculator