The Prescription Drugs Your Connecticut Plan Covers
If you are a member with Anthem's Connecticut 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.
Connecticut Drug Lists
Get access to up-to-date Anthem Pharmacy coverage for your Connecticut 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 Connecticut 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
Connecticut Essential Alternatives Drug List
Connecticut Three Tier Essential Drug List
Connecticut Four Tier Essential Drug List
Connecticut Five Tier Essential Drug List
Connecticut Essential Alternatives Drug List (Español)
Connecticut Three Tier Essential Drug List (Español)
Connecticut Four Tier Essential Drug List (Español)
Essential Drug List: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable Connecticut Three Tier Essential Drug
Searchable Connecticut Three Tier with 1a/1b Essential Drug
Searchable Connecticut Four Tier Essential Drug List
Searchable Connecticut Four Tier with 1a/1b Essential Drug List
Searchable Connecticut Five Tier Essential Drug List
Searchable Connecticut Five Tier with 1a/1b Essential Drug List
Searchable Connecticut Three Tier Essential Drug List (Español)
Searchable Connecticut Three Tier with 1a/1b Essential Drug List (Español)
Searchable Connecticut Four Tier Essential Drug List (Español)
Searchable Connecticut Four Tier with 1a/1b Essential Drug List (Español)
Searchable Connecticut Five Tier Essential Drug List (Español)
Searchable Connecticut Five Tier with 1a/1b Essential Drug List (Español)
Essential Drug Lists For Fully Insured Members in 2023
2023 Connecticut Essential Alternatives Drug List
2023 Connecticut Three Tier Essential Drug List
2023 Connecticut Four Tier Essential Drug List
2023 Connecticut Five Tier Essential Drug List
2023 Connecticut Essential Alternatives Drug List (Español)
2023 Connecticut Three Tier Essential Drug List (Español)
2023 Connecticut Four Tier Essential Drug List (Español)
Essential Drug Lists For Fully Insured Members in 2023: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable 2023 Connecticut Three Tier Essential Drug
Searchable 2023 Connecticut Three Tier with 1a/1b Essential Drug
Searchable 2023 Connecticut Four Tier Essential Drug List
Searchable 2023 Connecticut Four Tier with 1a/1b Essential Drug List
Searchable 2023 Connecticut Five Tier Essential Drug List
Searchable 2023 Connecticut Five Tier with 1a/1b Essential Drug List
Searchable 2023 Connecticut Three Tier Essential Drug List (Español)
Searchable 2023 Connecticut Three Tier with 1a/1b Essential Drug List (Español)
Searchable 2023 Connecticut Four Tier Essential Drug List (Español)
Searchable 2023 Connecticut Four Tier with 1a/1b Essential Drug List (Español)
Searchable 2023 Connecticut Five Tier Essential Drug List (Español)
Searchable 2023 Connecticut Five Tier with 1a/1b Essential Drug List (Español)
Essential Drug Lists For Fully Insured Members in 2024
2024 Connecticut Essential Alternatives Drug List
2024 Connecticut Essential Three Tier Drug List
2024 Connecticut Essential Four Tier Drug List
2024 Connecticut Essential Five Tier Drug List
2024 Connecticut Essential Alternatives Drug List (Español)
2024 Connecticut Essential Three Tier Drug List (Español)
2024 Connecticut Essential Four Tier Drug List (Español)
Essential Drug Lists For Fully Insured Members in 2024: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable 2024 Connecticut Three Tier Essential Drug
Searchable 2024 Connecticut Three Tier with 1a/1b Essential Drug
Searchable 2024 Connecticut Four Tier Essential Drug List
Searchable 2024 Connecticut Four Tier with 1a/1b Essential Drug List
Searchable 2024 Connecticut Five Tier Essential Drug List
Searchable 2024 Connecticut Five Tier with 1a/1b Essential Drug List
Searchable 2024 Connecticut Three Tier Essential Drug List (Español)
Searchable 2024 Connecticut Three Tier with 1a/1b Essential Drug List (Español)
Searchable 2024 Connecticut Four Tier Essential Drug List (Español)
Searchable 2024 Connecticut Four Tier with 1a/1b Essential Drug List (Español)
Searchable 2024 Connecticut Five Tier Essential Drug List (Español)
Searchable 2024 Connecticut Five Tier with 1a/1b Essential Drug List (Español)
Essential Drug Lists For Fully Insured Members in 2025
2025 Connecticut Essential Alternatives Drug List
2025 Connecticut Essential Alternatives Drug List (Español)
2025 Connecticut Essential Three Tier Drug List
2025 Connecticut Essential Four Tier Drug List
2025 Connecticut Essential Five Tier Drug List
2025 Connecticut Essential Three Tier Drug List (Español)
2025 Connecticut Essential Four Tier Drug List (Español)
Essential Drug Lists For Fully Insured Members in 2025: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable 2025 Essential 3T Split-CT FI
Searchable 2025 Essential 3T Split-CT FI - (Español)
Searchable 2025 Essential 3T-CT FI
Searchable 2025 Essential 3T-CT FI - (Español)
Searchable 2025 Essential 4T Split-CT FI
Searchable 2025 Essential 4T Split-CT FI - (Español)
Searchable 2025 Essential 4T-CT FI
Searchable 2025 Essential 5T Split-CT FI
Searchable 2025 Essential 5T Split-CT FI - (Español)
Searchable 2025 Essential 5T-CT FI
National Drug List
The National drug list is for Connecticut 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
Connecticut National Alternatives Drug List
Connecticut Three Tier National Drug List
Connecticut Four Tier National Drug List
Connecticut Five Tier National Drug List
Connecticut National Closed Drug List
Connecticut National Alternatives Drug List (Español)
Connecticut Three Tier National Drug List (Español)
Connecticut Four Tier National Drug List (Español)
National Drug List: Medication Search
Searchable Connecticut Three Tier National Drug List
Searchable Connecticut Three Tier with 1a/1b National Drug List
Searchable Connecticut Four Tier National Drug
Searchable Connecticut Four Tier with 1a/1b National Drug List
Searchable Connecticut Five Tier National Drug List
Searchable Connecticut Five Tier with 1a/1b National Drug List
Searchable Connecticut National Closed Drug List
Searchable Connecticut Three Tier National Drug List (Español)
Searchable Connecticut Three Tier with 1a/1b National Drug List (Español)
Searchable Connecticut Four Tier National Drug List (Español)
Searchable Connecticut Four Tier with 1a/1b National Drug List (Español)
Searchable Connecticut Five Tier National Drug List (Español)
Searchable Connecticut Five Tier with 1a/1b National Drug List (Español)
National Drug Lists For Fully Insured Members in 2023
National Drug Lists For Fully Insured Members in 2023: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable 2023 Connecticut Three Tier National Drug List
Searchable 2023 Connecticut Three Tier with 1a/1b National Drug List
Searchable 2023 Connecticut Four Tier National Drug
Searchable 2023 Connecticut Four Tier with 1a/1b National Drug List
Searchable 2023 Connecticut Three Tier National Drug List (Español)
Searchable 2023 Connecticut Three Tier with 1a/1b National Drug List (Español)
Searchable 2023 Connecticut Four Tier National Drug List (Español)
Searchable 2023 Connecticut Four Tier with 1a/1b National Drug List (Español)
National Drug Lists For Fully Insured Members in 2024
National Drug Lists For Fully Insured Members in 2024: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable 2024 Connecticut Three Tier National Drug List
Searchable 2024 Connecticut Three Tier with 1a/1b National Drug List
Searchable 2024 Connecticut Four Tier National Drug
Searchable 2024 Connecticut Four Tier with 1a/1b National Drug List
Searchable 2024 Connecticut Three Tier National Drug List (Español)
Searchable 2024 Connecticut Three Tier with 1a/1b National Drug List (Español)
Searchable 2024 Connecticut Four Tier National Drug List (Español)
Searchable 2024 Connecticut Four Tier with 1a/1b National Drug List (Español)
National Drug Lists For Fully Insured Members in 2025
National Drug Lists For Fully Insured Members in 2025: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable 2025 National 3T Split-CT FI
Searchable 2025 National 3T Split-CT FI - (Español)
Searchable 2025 National 3T-CT FI
Searchable 2025 National 3T-CT FI - (Español)
Searchable 2025 National 4T Split-CT FI
Searchable 2025 National 4T Split-CT FI - (Español)
Searchable 2025 National 4T-CT FI
National Direct Drug List
The National Direct Drug list is for Connecticut 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
Connecticut National Direct Alternatives Drug List
Connecticut Three Tier National Direct Drug List
Connecticut Four Tier National Direct Drug List
Connecticut Five Tier National Direct Drug List
Connecticut National Direct Alternatives Drug List (Español)
Connecticut Three Tier National Direct Drug List (Español)
Connecticut Four Tier National Direct Drug List (Español)
National Direct Drug List: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable Connecticut Three Tier National Direct Drug List
Searchable Connecticut Three Tier with 1a/1b National Direct Drug List
Searchable Connecticut Four Tier National Direct Drug List
Searchable Connecticut Four Tier with 1a/1b National Direct Drug List
Searchable Connecticut Five Tier National Direct Drug List
Searchable Connecticut Five Tier with 1a/1b National Direct Drug List
Searchable Connecticut Three Tier National Direct Drug List (Español)
Searchable Connecticut Three Tier with 1a/1b National Direct Drug List (Español)
Searchable Connecticut Four Tier National Direct Drug List (Español)
Searchable Connecticut Four Tier with 1a/1b National Direct Drug List (Español)
Searchable Connecticut Five Tier National Direct Drug List (Español)
Searchable Connecticut Five Tier with 1a/1b National Direct Drug List (Español)
National Direct Plus Drug List
These lists may be for Conneticut 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.
National Direct Plus Drug Lists
Connecticut National Direct Plus Alternatives Drug List
Connecticut Three Tier National Direct Plus Drug List
Connecticut Four Tier National Direct Plus Drug List
Connecticut Five Tier National Direct Plus Drug List
Connecticut National Direct Plus Alternatives Drug List (Español)
Connecticut Three Tier National Direct Plus Drug List (Español)
Connecticut Four Tier National Direct Plus Drug List (Español)
Connecticut 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 Connecticut Three Tier National Direct Plus Drug List
Searchable Connecticut Three Tier with 1a/1b National Direct Plus Drug List
Searchable Connecticut Four Tier National Direct Plus Drug List
Searchable Connecticut Four Tier with 1a/1b National Direct Plus Drug List
Searchable Connecticut Five Tier National Direct Plus Drug List
Searchable Connecticut Five Tier with 1a/1b National Direct Plus Drug List
Searchable Connecticut Three Tier National Direct Plus Drug List (Español)
Searchable Connecticut Three Tier with 1a/1b National Direct Plus Drug List (Español)
Searchable Connecticut Four Tier National Direct Plus Drug List (Español)
Searchable Connecticut Four Tier with 1a/1b National Direct Plus Drug List (Español)
Searchable Connecticut Five Tier National Direct Plus Drug List (Español)
Searchable Connecticut Five Tier with 1a/1b National Direct Plus Drug List (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.
Connecticut members, contact your employer or the Pharmacy Member Services number on your ID card if you need assistance in identifying your plan.
Select Drug Lists: Connecticut Small Group Plan
2024 Connecticut Small Group Three Tier Select Drug List
2024 Connecticut Small Group Four Tier Select Drug List
2024 Connecticut Small Group Four Tier with 1a/1b Select Drug List
2024 Connecticut Small Group Three Tier Select Drug List (Español)
2024 Connecticut Small Group Four Tier Select Drug List (Español)
2024 Connecticut Small Group Four Tier with 1a/1b Select Drug List (Español)
2025 Connecticut Small Group Three Tier Select Drug List
2025 Connecticut Small Group Four Tier Select Drug List
2025 Connecticut Small Group Four Tier with 1a/1b Select Drug List
2025 Connecticut Small Group Three Tier Select Drug List (Español)
2025 Connecticut Small Group Four Tier Select Drug List (Español)
2025 Connecticut Small Group Four Tier with 1a/1b Select Drug List (Español)
Select Connecticut Small Group Drug List: Medication Search
Search for medications in these searchable lists.
Searchable 2024 Connecticut Small Group Select Drug List
Searchable 2024 Connecticut 3 Tier Small Group Select Drug List
Searchable 2024 Connecticut Small Group Select Drug List with 1a/1b
Searchable 2024 Connecticut Small Group Select Drug List (Español)
Searchable 2024 Connecticut 3 Tier Small Group Select Drug List (Español)
Searchable 2024 Connecticut Small Group Select Drug List with 1a/1b (Español)
Searchable 2025 Connecticut Small Group Select Drug List
Searchable 2025 Connecticut 3 Tier Small Group Select Drug List
Searchable 2025 Connecticut Small Group Select Drug List with 1a/1b
Searchable 2025 Connecticut Small Group Select Drug List (Español)
Searchable 2025 Connecticut 3 Tier Small Group Select Drug List (Español)
Searchable 2025 Connecticut Small Group Select Drug List with 1a/1b (Español)
Select Drug Lists: Connecticut Large Group Alternative Funding Plan
Connecticut Three Tier Large Group Alternative Funding Plan List
Connecticut Four Tier Large Group Alternative Funding Plan List
Connecticut Four Tier with 1a/1b Large Group Alternative Funding Plan List
Connecticut Three Tier Large Group Alternative Funding Plan List (Español)
Connecticut Four Tier Large Group Alternative Funding Plan List (Español)
Connecticut Four Tier with 1a/1b Large Group Alternative Funding Plan List (Español)
Select Drug List: Connecticut Large Group Alternative Funding Plan Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable Connecticut Three Tier Large Group Alternative Funding Plan List
Searchable Connecticut Four Tier Large Group Alternative Funding Plan List
Searchable Connecticut Four Tier Large Group Alternative Funding Plan List with 1a/1b
Searchable Connecticut Three Tier Large Group Alternative Funding Plan List (Español)
Searchable Connecticut Four Tier Large Group Alternative Funding Plan List (Español)
Searchable Connecticut Four Tier Large Group Alternative Funding Plan List with 1a/1b (Español)
Traditional Open Drug List
The Traditional Open Drug list is for Connecticut 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 List: Medication Search
Search for 3, 4 or 5 tier medications in these searchable lists.
Searchable Connecticut Traditional Open Drug List 3-Tier
Searchable Connecticut Traditional Open Drug List 3-Tier with 1a/1b
Searchable Connecticut Traditional Open Drug List 4-Tier
Searchable Connecticut Traditional Open Drug List 4-Tier with 1a/1b
Searchable Connecticut Traditional Open Drug List 5-Tier
Searchable Connecticut Traditional Open Drug List 5-Tier with 1a/1b
Searchable Connecticut Traditional Open Drug List 3-Tier (Español)
Searchable Connecticut Traditional Open Drug List 3-Tier with 1a/1b (Español)
Searchable Connecticut Traditional Open Drug List 4-Tier (Español)
Searchable Connecticut Traditional Open Drug List 4-Tier with 1a/1b (Español)
Searchable Connecticut Traditional Open Drug List 5-Tier (Español)
Searchable Connecticut Traditional Open Drug List 5-Tier with 1a/1b (Español)
Benefit and Program Drug Lists
PreventiveRx Plus Drug List
The Anthem Blue Cross and Blue Shield PreventiveRx Drug List applies to Connecticut 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.
National Plan PreventiveRx Drug Lists
If you have the Anthem Blue Cross and Blue Shield National formulary/drug list, one of these PreventiveRx drug lists may also apply to you.
National Direct Plan PreventiveRx Drug Lists
If you have the Anthem Blue Cross and Blue Shield National Direct formulary/drug list, one of these PreventiveRx drug lists may also apply to you.
National Direct Plus Plan PreventiveRx Drug Lists
If you have the Anthem Blue Cross and Blue Shield National Direct Plus formulary/drug list, one of these PreventiveRx drug lists may also apply to you.
Select Plan PreventiveRx Drug Lists
Traditional Open Plan PreventiveRx Drug Lists
If you use the Anthem Blue Cross and Blue Shield Traditional Open formulary/drug list, one of these PreventiveRx drug lists may apply to you.
Home Delivery and Rx Maintenance 90 Drug List
The Anthem Blue Cross and Blue Shield Home Delivery and Rx Maintenance 90 Drug List is for Connecticut 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 Benfits and Forms
Additional Benefits
ACA Contraceptive for Religious Affiliate Groups
Designated Medical Specialty Pharmacy Drug List (Anthem Blue Cross Blue Shield)
Home Infusion Therapy Exclusion List
Medical Specialty Pharmacy Drug List
Pharmacy Prior Authorization Information
Preventive ACA Drug List Flier (Anthem Blue Cross and Blue Shield)
Preventive Care Flier (Anthem Blue Cross and Blue Shield)
Voluntary Dose Management Programs