The Prescription Drugs Your Wisconsin Plan Covers
If you are a member with Anthem's Wisconsin 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.
Wisconsin Drug Lists
Get access to up-to-date Anthem Pharmacy coverage for your Wisconsin 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 Wisconsin 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 Wisconsin 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 Wisconsin 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 Wisconsin 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 Wisconsin 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
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.
Wisconsin 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 Wisconsin 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 Drug List (Español)
Legacy PreventiveRx Plus 2016 Drug List
Legacy PreventiveRx Plus 2016 Drug List (Español)
PreventiveRx Enhanced Drug List (Essential)
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.
PreventiveRx Plus Drug List (Español)
Legacy PreventiveRx Plus 2016 Drug List
Legacy PreventiveRx Plus 2016 Drug List (Español)
PreventiveRx Expanded Drug List
PreventiveRx Expanded Drug List (Español)
PreventiveRx Enhanced Drug List
Legacy PreventiveRx Plus 2016 Drug List (WI Select)
Legacy PreventiveRx Plus Drug List (Select) (Wisconsin)
Legacy PreventiveRx Plus Drug List (Select) (Wisconsin) (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.
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
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.
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 Wisconsin 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
Additional Benefits and Forms