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.
Specialty Drug List
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.
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 Name||Phone 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|
Drugs requiring prior approval
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.
- List of medical prior approval drugs (eff. 12/01/23)
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
Unique packaging and therapeutic alternatives (UPTA) excluded drug list
View the list of drugs that are excluded from coverage due to unique packaging and/or where there is a therapeutic alternative.
Vermont Education Health Initiative — VEHI
- Generic Tier Drug List (for Platinum and Gold Plans only)
Lifestyle and 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 Lifestyle and Medication Guidance program. As a Blue Cross member, it’s FREE and included in your plan!