personal benefits information
Claim Search — Your prescription claims history, including prescription number,
date filled, prescriber, quantity, pharmacy, amount paid by you and amount paid
by your pharmacy plan.
Note: To access information about your personal pharmacy claims, you must
register to use
My Blueprint, our member self-service center.
Network Pharmacy Search — Search
for a network pharmacy by name, city, state or zip code. Maps and driving directions
to serve you better
Mail-Order Drugs — A description of the mail-order
option some employers have chosen for their employees and a link to the mail-order
Prescription Claim Form (PDF)
Prior Authorization Form for Prescription Drugs (PDF)
Prescription Drug Pricing
Specialty Drugs — A description of the program that
covers injectable and select oral medications.
Using Your Pharmacy Benefits — How to use your benefits
and the advantages your pharmacy plan offers you.
Go Generic — Information about the cost and quality of
generic drugs, including:
printable drug lists
2014 Formulary Two (formerly called Complete Care) (PDF)
2014 Metallic Drug List (PDF)
2014 Standard Formulary (PDF)
2014 Standard Formulary Preferred Drug List (PDF)
2014 Value Formulary (PDF)
2014 Value Formulary Preferred Drug List (PDF)
Maintenance Drugs (PDF) — Medications considered to be necessary for long periods of time.
Prior Authorization List (PDF) — Medications that require prior approval. For authorization, call 1-877-433-2973.