What's Covered/Formulary

The following Preferred Medication List/Formulary (PML) can assist you in choosing a generic or brand-name medication.

• Generic Medications - A large number of generic medications are available. If you choose a generic, you will most likely pay the least amount for these medications. Generics provide the same high quality and therapeutic benefit as brand-name medications, without the brand-name price.
• Brand-Name Medications - Brand-name medications listed on the PML/Formulary are available at your brand copay (or coinsurance) level. They are owned (protected by patent) and manufactured by a specific company. When the patent expires on a brand-name medication, that medication can then be manufactured and distributed by other companies.

Healthy Options OTC Formulary - The following over-the-counter products are covered for Asuris Northwest Health and Regence BlueShield Healthy Options members only and are benefit exclusions on most other plans.

Medication Cost Integration (MCI) Formulary - The following prescription drug and major medical medication lists apply to Regence members who have the MCI benefit. 

Choose your plan from the following:

• Regence BlueShield of Idaho
• Regence BlueCross BlueShield of Oregon
• Regence BlueCross BlueShield of Utah
• Regence BlueShield (in most counties of Washington)
• Asuris Northwest Health

Non-Formulary Medications
Any medication not listed on the PML is not on the formulary. If you have a three-tier copay/coinsurance plan, the non-formulary medication is only available at the highest copayment or at your own expense if you have a closed formulary design.

View a list of Alternatives to Non-Formulary Medications.

Questions?
If you have questions about your prescription benefits, please call Customer Service at the number on the back of your member card, or the TTY line for people with hearing impairments at 1 (800) 382-1003.

We encourage you to share this information with your doctor and other medical providers.