Drug List and Pharmacy Information
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April. 1, 2022 – Part 1
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 2
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2022 – Part 1
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 2
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Oct. 1, 2021 – Part 1
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 – Part 2
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective July 1, 2021 – Part 1
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 – Part 2
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective April 1, 2021 – Part 1
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021 – Part 2
- Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2021 – Part 1
- Basic Drug List
- Basic Drug List Updates
- Multi-Tier Basic Drug List
- Multi-Tier Basic Drug List Updates
- Enhanced Drug List
- Enhanced Drug List Updates
- Multi-Tier Enhanced Drug List
- Multi-Tier Enhanced Drug List Updates
- Balanced Drug List
- Performance Drug List
- Performance Select Drug List
- Drug Lists for BCBSOK plans on/off the Marketplace
- Dispensing (Quantity vs. Time) Limits
- Blue Cross MedicareRx Drug Lists
- Blue Cross Medicare Advantage Drug Lists
- Medicare Part D Updates
- Specialty Pharmacy Program Drug List
- Maintenance Drug Listing A drug is considered a maintenance medication when it is being taken to treat chronic condition for an extended amount of time. Some drug programs allow maintenance medications to be dispensed in quantities that exceed a 30-day supply.
- Pharmacy Order/Referral Forms
- Prior Authorization/Step Therapy Forms
- Drug Utilization Review
- Prescription Drug Claim Form
- Comprehensive Prescription Drug Claim Form
- Lincs Rx NCPDP Version 5.1 Payor Sheet
- Medicare Blue Rx (Part D) Payor Sheet
- Medicare Blue PPO Payor Sheet
- Clinical Quantity Limit Override Request
* Note: Blue Cross and Blue Shield of Oklahoma health plans offered by self-insured employer groups may have different coverage options, plans or benefits. Please refer to your health plan contract, which governs eligibility, coverage exclusions and available benefits.