New York Drug List

New York Drug Lists

Get access to up-to-date Anthem Pharmacy coverage for your New York 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 Anthem Blue Cross and Blue Shield Essential drug list is for New York 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 Anthem Blue Cross and Blue Shield National drug list is for New York 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 Anthem Blue Cross and Blue Shield National Direct drug list is for New York 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 List

The Anthem Blue Cross and Blue Shield National Direct Plus drug list is for New York 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.

Select Drug List

The Anthem Blue Cross Blue Shield Select Drug List applies 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.

New York 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 Anthem Blue Cross and Blue Shield Traditional Open drug list applies to New York 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.

Benefit and Program Drug Lists

PreventiveRx Drug Lists

The Anthem Blue Cross and Blue Shield PreventiveRx Drug List applies to New York 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, this PreventiveRx drug list 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

If you use the Select formulary/drug list for Anthem Blue Cross and Blue Shield PreventiveRx Plus and 2016 Legacy PreventiveRx Plus, this PreventiveRx Plus drug list may apply to you.

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.

CarelonRx Specialty Pharmacy Exclusive Drug List

The Anthem Blue Cross and Blue Shield Exclusive Specialty Drug 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

Medical Specialty Pharmacy Drug List

The Anthem Blue Cross and Blue Shield Medical Specialty Pharmacy Drug List of specialty medications are not covered under the pharmacy or medical benefit for certain groups.

 New York specialty drugs not covered under the pharmacy benefit

 New York specialty drugs not covered under the medical benefit

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 New York 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.

 New York Home Delivery and Rx Maintenance 90 Drug List

 Home Delivery and Rx Maintenance 90 Drug List (Español)

Designated Medical Specialty Pharmacy Drug List

 New York Designated Medical Specialty Pharmacy Drug List

Additional Benefits and Forms