Prescription Drug Coverage
Designed to help you stay well and save money.
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Designed to help you stay well and save money.
Our team of pharmacists and drug experts continually review drugs available in the market to ensure your coverage includes clinically, cost effective, and safe drug options. Often a lower cost drug can achieve the same health results as a more expensive drug – and those savings can add up!
Florida Blue’s contracted partner, Prime Therapeutics®, helps to administer your prescription drug benefits. When you see their name, you can be reassured that they are working on your behalf to help you get the medication you need when you need it.
Prescription drug coverage varies by plan to offer affordable choices for everyone. So, it’s important to understand your plan’s1 prescription drug coverage - from covered drugs and coverage requirements to cost shares2 and pharmacy choices.
Log into your online account or use the Florida Blue app on your smartphone to get plan-specific benefits and costs, which makes it easier to compare options with your doctor or pharmacist.
If you have drug coverage through Florida Blue, you can log in to use the Drug Comparison tool and find a variety of helpful resources: It’s your one stop prescription shop!
1Plan names are shown in the top right corner of your member ID card. Examples include BlueOptions, BlueCare, BlueSelect and BlueChoice.
2Your cost share is the amount you pay for health care services or supplies.
3Prescription drugs are grouped by Tier. The lower the tier, the lower your cost share.
4Generic drugs are sold under their common generic or chemical name. Generics have the same active ingredients as their brand name equivalents and have been found to be safe and effective by the U.S. Food and Drug Administration.
5Preferred means "preferred" over other brand drugs used for the same treatment. brand name and single-source generic drugs - higher fixed copayment: Some brand name drugs are designated as preferred brand drugs when generic alternatives aren’t available or do not adequately represent a therapeutic class.
6A therapeutic alternative is a brand or generic medication in the same therapeutic class that has different active ingredients and possibly a different strength than another drug.