The Prescription Drugs Your California Plan Covers
If you are a member with Anthem's California pharmacy coverage, log in and automatically connect to the current drug list that applies to your pharmacy benefits.
If you're not sure whether which list applies to your plan, check with your employer, or call the Pharmacy Member Services number printed on your ID card.
California Drug Lists
Get access to up-to-date Anthem Pharmacy coverage for your California drug list. Our drug lists include details about brands and generics, dosage/strength options, and information about prior authorization of your drug.
How We Choose The Drugs On These Lists
An independent group of practicing doctors, pharmacists and other health-care professionals meet regularly to review new and existing drugs.
The medications on your drug list are chosen based on a number of factors including how well they work, value to patients and safety. All drugs on these lists are approved by the Food and Drug Administration (FDA).
Essential Drug List
The Essential drug list is for California members who receive a health insurance plan from an employer.
Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.
Essential Drug Lists for Non-CDI and Non-DMHC Members
This Essential drug list is for California members not enrolled on a CDI or DMHC plan.
Members, refer to your Evidence of Coverage, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan. You may also log into your member portal or use the Sydney app to identify your drug coverage.
Essential Alternatives Drug List
Essential Alternatives Drug List (Español)
California Three Tier Essential Drug List
California Three Tier Essential Drug List (Español)
California Four Tier Essential Drug List
California Four Tier Essential Drug List (Español)
California Five Tier Essential Drug List
California Five Tier Essential Drug List (Español)
Essential Drug List for Non-CDI and Non-DMHC Members: Medication Search
This Essential drug list is for California members not enrolled on a CDI or DMHC plan.
Members, refer to your Evidence of Coverage, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan. You may also log into your member portal or use the Sydney app to identify your drug coverage.
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable California Three Tier Essential Drug List
Searchable California Three Tier Essential Drug List (Español)
Searchable California Three Tier with 1a/1b Essential Drug List
Searchable California Three Tier with 1a/1b Essential Drug List (Español)
Searchable California Four Tier Essential Drug List
Searchable California Four Tier Essential Drug List (Español)
Searchable California Four Tier with 1a/1b Essential Drug List
Searchable California Four Tier with 1a/1b Essential Drug List (Español)
Searchable California Five Tier Essential Drug List
Searchable California Five Tier Essential Drug List (Español)
Searchable California Five Tier with 1a/1b Essential Drug List
Searchable California Five Tier with 1a/1b Essential Drug List (Español)
Essential Drug Lists for CDI and DMHC Members
This Essential drug list is for California members who are enrolled in a CDI or DMHC plan.
Members, refer to your Evidence of Coverage, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan. You may also log into your member portal or use the Sydney app to identify your drug coverage.
California CDI Essential Alternatives Drug List
California CDI Essential Alternatives Drug List (Español)
California DMHC Essential Alternatives Drug List
California DMHC Essential Alternatives Drug List (Español)
The following plans use the Essential Department of Managed Health Care (DMHC) formulary:
| Anthem Advantage HMO | Anthem PPO HSA | Anthem Prudent Buyer PPO Classic |
Anthem Classic Choice HMO |
Anthem PPO HSA Select PPO | Anthem Prudent Buyer PPO Elements Choice |
| Anthem Classic Choice HMO Priority Select HMO | Anthem PPO HSA/H | Anthem Prudent Buyer PPO Elements Choice HSA |
Anthem Classic Choice HMO Select HMO |
Anthem PPO HSA/H Select PPO | Anthem Prudent Buyer PPO Exclusive Classic |
| Anthem Classic HMO | Anthem Premier HMO | Anthem Prudent Buyer PPO Exclusive Value |
Anthem Classic HMO Priority Select HMO |
Anthem Premier HMO Priority Select HMO | Anthem Prudent Buyer PPO HIA Plus |
| Anthem Classic HMO Select HMO | Anthem Premier HMO Select HMO | Anthem Prudent Buyer PPO HIA Plus Copay |
| Anthem Classic HMO Vivity | Anthem Premier HMO Vivity | Anthem Prudent Buyer PPO HRA |
| Anthem Classic HMO 20/40/250 admit/125 OP Vivity | Anthem Value Ded HMO | Anthem Prudent Buyer PPO HRA Copay |
Anthem Classic PPO |
Anthem Value Ded HMO Priority Select HMO | Anthem Prudent Buyer PPO HSA |
Anthem Classic PPO Select PPO |
Anthem Value Ded HMO Select HMO | Anthem Prudent Buyer PPO HSA/H |
Anthem Elements Choice HMO |
Anthem Value HMO | Anthem Select HMO Classic |
| Anthem Elements Choice HMO Priority Select HMO | Anthem Value HMO Priority Select HMO | Anthem Select HMO Classic Choice |
Anthem Elements Choice HMO Select HMO |
Anthem Value HMO Select HMO | Anthem Select HMO Elements Choice |
Anthem Elements Choice HAS |
Anthem Value HMO Vivity | Anthem Select HMO Premier |
| Anthem Elements Choice HSA Select PPO | Anthem Blue Connection EPO | Anthem Select HMO Value |
| Anthem Elements Choice PPO | Anthem CaliforniaCare HMO Advantage | Anthem Select HMO Value Ded |
| Anthem Elements Choice PPO Select PPO | Anthem CaliforniaCare HMO Classic | Anthem Select PPO Classic |
| Anthem EPO | Anthem CaliforniaCare HMO Classic Choice | Anthem Select PPO Classic PPO |
| Anthem EPO Blue Connection | Anthem CaliforniaCare HMO Elements Choice | Anthem Select PPO Elements Choice |
| Anthem Exclusive Classic PPO | Anthem CaliforniaCare HMO Premier | Anthem Select PPO Elements Choice HSA |
| Anthem Exclusive Value PPO | Anthem CaliforniaCare HMO Value |
Anthem Select PPO HIA Plus |
| Anthem High Performance EPO | Anthem CaliforniaCare HMO Value Ded | Anthem Select PPO HIA Plus Copay |
| Anthem High Performance EPO HSA | Anthem High Performance EPO | Anthem Select PPO HRA |
| Anthem PPO HIA Plus | Anthem Link Virtual First High Performance EPO | Anthem Select PPO HRA Copay |
| Anthem PPO HIA Plus Select PPO | Anthem Priority Select HMO Classic | Anthem Select PPO HSA |
| Anthem PPO HIA Plus Copay | Anthem Priority Select HMO Classic Choice | Anthem Select PPO HSA/H |
Anthem PPO HIA Plus Copay Select PPO |
Anthem Priority Select HMO Elements Choice | Anthem Vivity HMO Classic |
| Anthem PPO HRA | Anthem Priority Select HMO Premier | Anthem Vivity HMO Elements Choice |
| Anthem PPO HRA Select PPO | Anthem Priority Select HMO Value |
Anthem Vivity HMO Premier |
| Anthem PPO HRA Copay | Anthem Priority Select HMO Value Ded | Anthem Vivity HMO Value |
| Anthem PPO HRA Copay Select PPO | Anthem Prudent Buyer EPO | Anthem Vivity HMO Value Ded |
California Three Tier Essential Drug List (DMHC PDF)
California Three Tier Essential Drug List (DMHC PDF) (Español)
California Four Tier Essential Drug List (DMHC PDF)
California Four Tier Essential Drug List (DMHC PDF) (Español)
The following plans use the Essential California Department of Insurance (CDI) formulary:
| Anthem Solution PPO | Anthem Prudent Buyer PPO Solution |
California Three Tier Essential Drug List (CDI PDF)
California Three Tier Essential Drug List (CDI PDF) (Español)
California Four Tier Essential Drug List (CDI PDF)
California Four Tier Essential Drug List (CDI PDF) (Español)
Essential Drug List for CDI and DMHC Members: Medication Search
This Essential drug list is for California members who are enrolled in a CDI or DMHC plan.
Members, refer to your Evidence of Coverage, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan. You may also log into your member portal or use the Sydney app to identify your drug coverage.
The following plans use the Essential Department of Managed Health Care (DMHC) formulary:
| Anthem Advantage HMO | Anthem PPO HSA | Anthem Prudent Buyer PPO Classic |
Anthem Classic Choice HMO |
Anthem PPO HSA Select PPO | Anthem Prudent Buyer PPO Elements Choice |
| Anthem Classic Choice HMO Priority Select HMO | Anthem PPO HSA/H | Anthem Prudent Buyer PPO Elements Choice HSA |
Anthem Classic Choice HMO Select HMO |
Anthem PPO HSA/H Select PPO | Anthem Prudent Buyer PPO Exclusive Classic |
| Anthem Classic HMO | Anthem Premier HMO | Anthem Prudent Buyer PPO Exclusive Value |
Anthem Classic HMO Priority Select HMO |
Anthem Premier HMO Priority Select HMO | Anthem Prudent Buyer PPO HIA Plus |
| Anthem Classic HMO Select HMO | Anthem Premier HMO Select HMO | Anthem Prudent Buyer PPO HIA Plus Copay |
| Anthem Classic HMO Vivity | Anthem Premier HMO Vivity | Anthem Prudent Buyer PPO HRA |
| Anthem Classic HMO 20/40/250 admit/125 OP Vivity | Anthem Value Ded HMO | Anthem Prudent Buyer PPO HRA Copay |
Anthem Classic PPO |
Anthem Value Ded HMO Priority Select HMO | Anthem Prudent Buyer PPO HSA |
Anthem Classic PPO Select PPO |
Anthem Value Ded HMO Select HMO | Anthem Prudent Buyer PPO HSA/H |
Anthem Elements Choice HMO |
Anthem Value HMO | Anthem Select HMO Classic |
| Anthem Elements Choice HMO Priority Select HMO | Anthem Value HMO Priority Select HMO | Anthem Select HMO Classic Choice |
Anthem Elements Choice HMO Select HMO |
Anthem Value HMO Select HMO | Anthem Select HMO Elements Choice |
Anthem Elements Choice HAS |
Anthem Value HMO Vivity | Anthem Select HMO Premier |
| Anthem Elements Choice HSA Select PPO | Anthem Blue Connection EPO | Anthem Select HMO Value |
| Anthem Elements Choice PPO | Anthem CaliforniaCare HMO Advantage | Anthem Select HMO Value Ded |
| Anthem Elements Choice PPO Select PPO | Anthem CaliforniaCare HMO Classic | Anthem Select PPO Classic |
| Anthem EPO | Anthem CaliforniaCare HMO Classic Choice | Anthem Select PPO Classic PPO |
| Anthem EPO Blue Connection | Anthem CaliforniaCare HMO Elements Choice | Anthem Select PPO Elements Choice |
| Anthem Exclusive Classic PPO | Anthem CaliforniaCare HMO Premier | Anthem Select PPO Elements Choice HSA |
| Anthem Exclusive Value PPO | Anthem CaliforniaCare HMO Value |
Anthem Select PPO HIA Plus |
| Anthem High Performance EPO | Anthem CaliforniaCare HMO Value Ded | Anthem Select PPO HIA Plus Copay |
| Anthem High Performance EPO HSA | Anthem High Performance EPO | Anthem Select PPO HRA |
| Anthem PPO HIA Plus | Anthem Link Virtual First High Performance EPO | Anthem Select PPO HRA Copay |
| Anthem PPO HIA Plus Select PPO | Anthem Priority Select HMO Classic | Anthem Select PPO HSA |
| Anthem PPO HIA Plus Copay | Anthem Priority Select HMO Classic Choice | Anthem Select PPO HSA/H |
Anthem PPO HIA Plus Copay Select PPO |
Anthem Priority Select HMO Elements Choice | Anthem Vivity HMO Classic |
| Anthem PPO HRA | Anthem Priority Select HMO Premier | Anthem Vivity HMO Elements Choice |
| Anthem PPO HRA Select PPO | Anthem Priority Select HMO Value |
Anthem Vivity HMO Premier |
| Anthem PPO HRA Copay | Anthem Priority Select HMO Value Ded | Anthem Vivity HMO Value |
| Anthem PPO HRA Copay Select PPO | Anthem Prudent Buyer EPO | Anthem Vivity HMO Value Ded |
Search for 3 or 4 tier medications in these searchable lists.
Searchable California Three Tier Essential Drug List (DMHC)
Searchable California Three Tier Essential Drug List (DMHC) (Español)
Searchable California Four Tier Essential Drug List (DMHC)
Searchable California Four Tier Essential Drug List (DMHC) (Español)
Searchable California Four Tier with 1a/1b Essential Drug List (DMHC)
Searchable California Four Tier with 1a/1b Essential Drug List (DMHC) (Español)
The following plans use the Essential California Department of Insurance (CDI) formulary:
| Anthem Solution PPO | Anthem Prudent Buyer PPO Solution |
Search for 3 or 4 tier medications in these searchable lists.
Searchable California Three Tier Essential Drug List (CDI)
Searchable California Three Tier Essential Drug List (CDI) (Español)
Searchable California Four Tier Essential Drug List (CDI)
Searchable California Four Tier Essential Drug List (CDI) (Español)
Searchable California Four Tier with 1a/1b Essential Drug List (CDI)
Searchable California Four Tier with 1a/1b Essential Drug List (CDI) (Español)
National Drug List
The National drug list is for California members who receive a health insurance plan from an employer, if they have certain grandfathered plans, or in some cases if coverage is through a Small Group employer.
Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.
National Drug Lists for Non-CDI and Non-DMHC Members
California National Alternatives Drug List
California National Alternatives Drug List (Español)
California Three Tier National Drug List
California Three Tier National Drug List (Español)
California Four Tier National Drug List
California Four Tier National Drug List (Español)
California Five Tier National Drug List
California Five Tier National Drug List (Español)
California National Drug List (JAA) (3-tier)
National Drug List for Non-CDI and Non-DMHC Members: Medication Search
This National drug list is for California members not enrolled on a CDI or DMHC plan.
Members, refer to your Evidence of Coverage, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan. You may also log into your member portal or use the Sydney app to identify your drug coverage.
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable California Three Tier National Drug List
Searchable California Three Tier National Drug List (Español)
Searchable California Three Tier with 1a/1b National Drug List
Searchable California Three Tier with 1a/1b National Drug List (Español
Searchable California Four Tier National Drug
Searchable California Four Tier National Drug List (Español)
Searchable California Four Tier with 1a/1b National Drug List
Searchable California Four Tier with 1a/1b National Drug List (Español)
Searchable California Five Tier National Drug List
Searchable California Five Tier National Drug List (Español)
Searchable California Five Tier with 1a/1b National Drug List
Searchable California Five Tier with 1a/1b National Drug List (Español)
National Drug Lists for CDI and DMHC Members
This National drug list is for California members who are enrolled in a CDI or DMHC plan.
Members, refer to your Evidence of Coverage, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan. You may also log into your member portal or use the Sydney app to identify your drug coverage.
California CDI National Alternatives Drug List
California CDI National Alternatives Drug List (Español)
California DMHC National Alternatives Drug List
California DMHC National Alternatives Drug List (Español)
The following plans use the National Department of Managed Health Care (DMHC) formulary:
| Anthem Premier PPO 250/15/10 | Anthem Prudent Buyer PPO Premier 250/15/10 |
| Anthem Premier PPO 250/15/10 Select PPO | Anthem Prudent Buyer PPO Premier 500/20/20 |
| Anthem Premier PPO 500/20/20 | Anthem Prudent Buyer PPO Premier Plus 250/20/10 with Infertility |
Anthem Premier PPO 500/20/20 Select PPO |
Anthem Select PPO Premier 250/15/10 |
Anthem Premier PPO Plus 250/20/10 with Infertility |
Anthem Select PPO Premier 500/20/20 |
| Anthem Premier PPO Plus 250/20/10 with Infertility Select PPO | Anthem Select PPO Premier Plus 250/20/10 with Infertility |
California Three Tier National Drug List (DMHC PDF)
California Three Tier National Drug List (DMHC PDF) (Español)
California Four Tier National Drug List (DMHC PDF)
California Four Tier National Drug List (DMHC PDF) (Español)
The following plans use the National California Department of Insurance (CDI) formulary:
California Three Tier National Drug List (CDI PDF)
California Three Tier National Drug List (CDI PDF) (Español)
California Four Tier National Drug List (CDI PDF)
National Drug List for CDI and DMHC Members: Medication Search
This National drug list is for California members who are enrolled in a CDI or DMHC plan.
Members, refer to your Evidence of Coverage, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan. You may also log into your member portal or use the Sydney app to identify your drug coverage.
The following plans use the National Department of Managed Health Care (DMHC) formulary:
| Anthem Premier PPO 250/15/10 | Anthem Prudent Buyer PPO Premier 250/15/10 |
| Anthem Premier PPO 250/15/10 Select PPO | Anthem Prudent Buyer PPO Premier 500/20/20 |
| Anthem Premier PPO 500/20/20 | Anthem Prudent Buyer PPO Premier Plus 250/20/10 with Infertility |
Anthem Premier PPO 500/20/20 Select PPO |
Anthem Select PPO Premier 250/15/10 |
Anthem Premier PPO Plus 250/20/10 with Infertility |
Anthem Select PPO Premier 500/20/20 |
| Anthem Premier PPO Plus 250/20/10 with Infertility Select PPO | Anthem Select PPO Premier Plus 250/20/10 with Infertility |
Search for 3 or 4 tier medications in these searchable lists.
Searchable California Three Tier National Drug List (DMHC)
Searchable California Three Tier National Drug List (DMHC) (Español)
Searchable California Four Tier National Drug List (DMHC)
Searchable California Four Tier National Drug List (DMHC) (Español)
Searchable California Four Tier with 1a/1b National Drug List (DMHC)
Searchable California Four Tier with 1a/1b National Drug List (DMHC) (Español)
The following plans use the National California Department of Insurance (CDI) formulary:
Searchable California Three Tier National Drug List (CDI)
Searchable California Three Tier National Drug List (CDI) (Español)
Searchable California Four Tier National Drug List (CDI)
Searchable California Four Tier National Drug List (CDI) (Español)
Searchable California Four Tier with 1a/1b National Drug List (CDI)
Searchable California Four Tier with 1a/1b National Drug List (CDI) (Español)
National Direct Drug List
The National Direct Drug list is for California members who receive health insurance plan from an employer.
Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.
National Direct Drug Lists
California National Direct Alternatives Drug List
California National Direct Alternatives Drug List (Español)
California Three Tier National Direct Drug List
California Three Tier National Direct Drug List (Español)
California Four Tier National Direct Drug List
California Four Tier National Direct Drug List (Español)
California Five Tier National Direct Drug List
National Direct Drug List: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable California Three Tier National Direct Drug List
Searchable California Three Tier National Direct Drug List (Español)
Searchable California Three Tier with 1a/1b National Direct Drug List
Searchable California Three Tier with 1a/1b National Direct Drug List (Español)
Searchable California Four Tier National Direct Drug List
Searchable California Four Tier National Direct Drug List (Español)
Searchable California Four Tier with 1a/1b National Direct Drug List
Searchable California Four Tier with 1a/1b National Direct Drug List (Español)
Searchable California Five Tier National Direct Drug List
Searchable California Five Tier National Direct Drug List (Español)
Searchable California Five Tier with 1a/1b National Direct Drug List
Searchable California Five Tier with 1a/1b National Direct Drug List (Español)
National Direct Plus Drug List
The National Direct Plus drug list is for members who receive a health insurance plan from an employer.
Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.
National Direct Plus Drug Lists
California National Direct Plus Alternatives Drug List
California National Direct Plus Alternatives Drug List (Español)
California Three Tier National Direct Plus Drug List
California Three Tier National Direct Plus Drug List (Español)
California Four Tier National Direct Plus Drug List
California Four Tier National Direct Plus Drug List (Español)
California Five Tier National Direct Plus Drug List
California Five Tier National Direct Plus Drug List (Español)
National Direct Plus Drug List: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable California Three Tier National Direct Plus Drug List
Searchable California Three Tier National Direct Plus Drug List (Español)
Searchable California Three Tier with 1a/1b National Direct Plus Drug List
Searchable California Three Tier with 1a/1b National Direct Plus Drug List (Español)
Searchable California Four Tier National Direct Plus Drug List
Searchable California Four Tier National Direct Plus Drug List (Español)
Searchable California Four Tier with 1a/1b National Direct Plus Drug List
Searchable California Four Tier with 1a/1b National Direct Plus Drug List (Español)
Searchable California Five Tier National Direct Plus Drug List
Searchable California Five Tier National Direct Plus Drug List (Español)
Searchable California Five Tier with 1a/1b National Direct Plus Drug List
Searchable California Five Tier with 1a/1b National Direct Plus Drug List (Español)
Traditional Open Drug List
The Traditional Open Drug list is for California members who receive a health insurance plan from an employer, if they have certain grandfathered plans, or in some cases if coverage is through a Small Group employer.
Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.
Traditional Open Drug Lists
California Three Tier Traditional Open Drug List
California Three Tier Traditional Open Drug List (Español)
California Three Tier Traditional Open Drug List (CDI)
California Three Tier Traditional Open Drug List (CDI) (Español)
California Three Tier Traditional Open Drug List (DMHC)
California Three Tier Traditional Open Drug List (DMHC) (Español)
California Four Tier Traditional Open Drug List
California Four Tier Traditional Open Drug List (Español)
California Five Tier Traditional Open Drug List
Traditional Open Drug List: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable California Traditional Open Drug List 3-Tier
Searchable California Traditional Open Drug List 3-Tier (Español)
Searchable California Traditional Open Drug List 3-Tier with 1a/1b
Searchable California Traditional Open Drug List 3-Tier with 1a/1b (Español)
Searchable California Traditional Open Drug List 4-Tier
Searchable California Traditional Open Drug List 4-Tier (Español)
Searchable California Traditional Open Drug List 4-Tier with 1a/1b
Searchable California Traditional Open Drug List 4-Tier with 1a/1b (Español)
Searchable California Traditional Open Drug List 5-Tier
Searchable California Traditional Open Drug List 5-Tier (Español)
Searchable California Traditional Open Drug List 5-Tier with 1a/1b
Searchable California Traditional Open Drug List 5-Tier with 1a/1b (Español)
Select Drug List
The Select Drug Lists apply to Individual plans if you purchased a plan on state or federal Health Insurance Marketplace (also known as the exchange) or if you purchased coverage off the exchange and not through your employer.
California members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.
Select California Individual Drug List: Medication Search
Search for 4 tier medications in this searchable list.
2024 Searchable California Four Tier Select Drug List
2024 Searchable California Four Tier Select Drug List (Español)
2025 Searchable California Four Tier Select Drug List
2025 Searchable California Four Tier Select Drug List (Español)
Benefit and Program Drug Lists
PreventiveRx Drug List
The Anthem Blue Cross PreventiveRx Drug List applies to California members who’s plan includes the PreventiveRx benefit. This benefit includes members receiving certain preventive drugs at low or no cost.
Members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.
Essential Plan PreventiveRx Drug Lists
If you have the Anthem Blue Cross Essential formulary drug list, one of these PreventiveRx drug lists may also apply to you.
PreventiveRx Plus List (Español)
Legacy PreventiveRx Plus 2016 List
Legacy PreventiveRx Plus 2016 List (Español)
PreventiveRx Enhanced Drug List (Essential)
PreventiveRx Enhanced Drug List (Essential) (Español)
National Plan PreventiveRx Drug Lists
If you have the Anthem Blue Cross National formulary drug list, one of these PreventiveRx drug lists may also apply to you.
PreventiveRx Plus List (Español)
Legacy PreventiveRx Plus 2016 List
Legacy PreventiveRx Plus 2016 List (Español)
PreventiveRx Expanded Drug List
PreventiveRx Expanded Drug List (Español)
PreventiveRx Enhanced Drug List
PreventiveRx Drug Lists (Traditional Open)
PreventiveRx Plus Drug List (Español)
PreventiveRx Plus Enhanced Drug List
PreventiveRx Plus Enhanced Drug List (Español)
Legacy PreventiveRx Plus 2016 Drug List
Legacy PreventiveRx Plus 2016 Drug List (Español)
PreventiveRx Plus Drug List (Select)
PreventiveRx Plus Drug List (Select) (Español)
PreventiveRx Enhanced Drug List
PreventiveRx Enhanced Drug List (Español)
Legacy PreventiveRx Plus 2016 Drug List (Select)
Legacy PreventiveRx Plus 2016 Drug List (Select) (Español)
PreventiveRx Enhanced Drug List (Select)
CarelonRx Specialty Pharmacy Exclusive Drug List
This list includes the specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. This list only applies if you have a specialty pharmacy network included in your benefit.
BioPlus Exclusive Specialty Drug List
This list includes the specialty drugs that must be filled through a participating specialty pharmacy in order for coverage to be provided. This list only applies if you have a specialty pharmacy network included in your benefit.
Specialty Drug Benefit Exclusion Lists
These lists of specialty medications if covered by your plan, are not covered under the pharmacy benefit. Some exceptions may apply.
Specialty drugs not covered under the pharmacy benefit
These lists of specialty medications if covered by your plan, are not covered under the medical benefit. Some exceptions may apply.
Home Delivery and Rx Maintenance 90 Drug List
The Anthem Blue Cross Home Delivery and Rx Maintenance 90 Drug List is for California members who refill prescriptions through home delivery or at a Rx Maintenance 90 pharmacy. Typically, this is for maintenance drugs used to treat long-term conditions like high blood pressure or diabetes.
Find an Rx Maintenance 90 pharmacy to obtain up to a 90-day supply of your medicine through on of our Rx Networks.
Additional Benefits and Forms
Medicare Supplement Drug Lists
This list is for members who have the Medicare Supplement Senior SmartChoice plan. This plan is closed to new membership.