Pharmacy
Claim Search: Your prescription claims history, including prescription number,
date filled, prescriber, quantity, pharmacy, amount paid by you and amount paid
by your pharmacy plan.
Note: To access information about your personal pharmacy claims, you must
register to use
My Blueprint, our member self-service center.
Network Pharmacy Search: Search
for a network pharmacy by name, city, state or zip code. Maps and driving directions
are provided.
Find Drug Information: Information
about medications, their use, how to take them, and possible side effects.
Mail-Order Drugs: A description of the mail-order
option some employers have chosen for their employees and a link to the mail-order
form.
Prescription Claim Form (882 KB PDF): Printable form in portable document format (PDF).
Specialty Drugs: A description of the program that
covers injectable and select oral medications.
Using Your Pharmacy Benefits: How to use your benefits
and the advantages your pharmacy plan offers you.
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Arkansas state and school employees use another vendor for their pharmacy
benefits administrator. For your benefits information, go to your
customized site.
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Go Generic: Information about the cost and quality of
generic drugs, including:
Formulary One (2068 KB PDF): List of common generic, preferred and third-tier drugs and those that require prior authorization.
Formulary One Preferred Drug List (44 KB PDF): Generic and lower-cost brand-name medications.
Formulary Three (423 KB PDF): Commonly Prescribed Covered Drugs
Maintenance Drugs (44 KB PDF): Medications considered to be necessary for long periods of time.
Prior Authorization List (32 KB PDF): Medications that require prior approval. For authorization, call (501) 378-3392.
Value Formulary (2470 KB PDF): Arkansas Blue Cross and Blue Shield Employees / Dependents / Retirees
Value Formulary Preferred Drug List (44 KB PDF): Generic and lower-cost brand-name medications.
(Arkansas Blue Cross and Blue Shield Employees / Dependents / Retirees)
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