Lists of Covered Medications

View the formulary lists of prescription drugs covered under Vermont Blue Rx, as well as specialty medications and those requiring prior approval.

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Formulary Drug Lists

To see the prescription drugs covered under your plan, you will need your ID card to help you determine which formulary will apply to you. Some plans exclude coverage for medications used for sexual dysfunction or fertility, or for weight loss medications containing Glucagon-Like Peptide 1 (GLP-1) receptor agonists, including Wegovy®, Zepbound®, and Saxenda®. To determine if a medication may be excluded, click on the formulary list below, enter the medication name, and review the corresponding member notes.

Please reference your current plan documents through the Member Resource Center to confirm your coverage information. 

Blue Cross Formulary (BCBSVT on your ID card)National Performance Formulary (NPF on your ID card)
Blue Cross VT Formulary LookupNPF Lookup
2026 Blue Cross VT Formulary Wellness List (eff. 07/01/26)2026 NPF Wellness List (eff. 07/01/26)
 

2026 NPF Exclusions List 

Note: If you do not find your drug listed on the NPF Exclusion list, check the NPF List to search for your drug and check additional coverage details.


2027 Qualified Health Plans Pricing & Coverage Tool

Additional Coverage Lists

View the most current list of covered medications

To verify that your specialty medicine is covered with Vermont Blue Rx, we encourage you to sign into the Member Resource Center and access our Specialty Pharmacy for the most up-to-date list of covered specialty medicines. You can also view the list below.

View the specialty drug list

You can purchase your specialty medicines through one of our preferred providers listed below and pay less. Be sure to verify that your specialty medication is covered with Vermont Blue Rx prior to having it filled. 

Pharmacy NamePhone Number
Optum Rx(844) 693-0163
Dartmouth-Hitchcock Medical Center (DHMC) Pharmacy(603) 653-3785
University of Vermont Medical Center (UVMMC) Pharmacy(802) 847-3784

Some drugs that are prescribed for medical use require separate Prior Approval. Please note under which benefit - Prescription Drug or Medical - your medication is prescribed by your provider. If you are covered under your employer's plan, please check with your benefits administrator as you may have a different coverage.

To request prior authorization or approval of an excluded medication, providers have the following options available:

  • Use CoverMyMeds (Member ID should include the last letter (usually V) followed by twelve numbers and the two-digit member number)
  • Call Vermont Blue Rx at (800) 313-7879

View the list of drugs that are excluded from coverage due to unique packaging and/or where there is a therapeutic alternative.

View the list of no cost preventive care medications that are covered with no copay, coinsurance, or deductible when prescribed by a health care professional and filled at a network pharmacy.

No cost preventive care medications (eff. 07/01/26)

Doctor with healthy foods

Medication Guidance Program

We can help you learn more about the medications you take every day. Whether you’re curious about adverse side effects or if there is a lower-cost generic available to you — we can help. Take a moment to learn more about our Medication Guidance program. As a Blue Cross VT member, it’s FREE and included in your plan!

Learn more

Vermont Education Health Initiative — VEHI