Future drug lists for your plan are available and will take effect on 01/01/25. Check what will change

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Colorado Drug List

The Prescription Drugs Your Colorado Plan Covers

 

If you are a member with Anthem's Colorado 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.

Colorado Drug Lists

Get access to up-to-date Anthem Pharmacy coverage for your Colorado 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).

 

 Check out a summary of our latest drug list changes

Essential Drug List

 

The Essential drug list is for Colorado 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 Drug List

 

The National drug list is for Colorado 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 Direct Drug List

 

The National Direct Drug list is for Colorado 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 Plus Drug List

 

These lists may be for Colorado members who get their 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.

Traditional Open Drug List

 

The Traditional Open Drug list is for Colorado 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.

Select Drug List

 

Select Drug Lists apply to Individual plans if you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange) or if you purchased coverage off the exchange and not through your employer. Choose your state above to find your plan's Select Drug list.

 

Colorado members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.

Benefit and Program Drug Lists

 

PreventiveRx Drug Lists

 

The Anthem Blue Cross and Blue Shield PreventiveRx Drug List applies to Colorado 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 and Blue Shield Essential formulary/drug list, one of these PreventiveRx drug lists may also apply to you.

 

 PreventiveRx Plus

 

 PreventiveRx Plus (Español)

 

 Legacy PreventiveRx Plus 2016

 

 Legacy PreventiveRx Plus 2016 (Español)

 

 PreventiveRx Enhanced Drug List (Essential)

 

 PreventiveRx Enhanced Drug List (Essential) (Español)

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.

 

 CarelonRx Specialty Pharmacy Exclusive Drug List

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.

 

 BioPlus Exclusive Specialty Drug List

Specialty Drug Benefit Exclusion Lists

 

This list of specialty medications, if covered by a member’s 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.

 

 Specialty drugs not covered under the medical benefit

Home Delivery and Rx Maintenance 90 Drug Lists

 

The Anthem Blue Cross and Blue Shield Home Delivery and Rx Maintenance 90 Drug List is for Colorado 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.

 

 Home Delivery and Rx Maintenance 90 Drug List

 

 Home Delivery and Rx Maintenance 90 Drug List (Español)

Additional Benefits and Forms