Resources

Blueprint Portal is one of our members’ best resources for managing your pharmacy benefits and viewing claims. By registering today, you can access the Pharmacy Center that includes:

• Your detailed prescription claims history
• Plan-specific information around your pharmacy benefits
• Mail order information
• Drug coverage and cost tools
• Pharmacy Finder

Forms

• Prescription Claim Form
• Prescription Mail Service Order Form If your policy has a mail-order medications benefit, use this form to order new and/or refill mail service prescriptions.
• Prior Authorization Form for Prescription Drugs (to be filled out by prescriber)

Employer coverage drug lists

• 2024 Standard with Step Formulary 4 Tier
• 2024 Standard with Step Therapy Drug List
• 2024 Metallic 5 Tier Formulary (for Standardized plans only)
• 2024 Metallic 6 Tier Formulary
• 2025 Standard with Step Formulary 4 Tier
• 2025 Standard with Step Therapy Drug List

If you need more information about your prescription drug coverage, call the number on the back of your ID card.

Drug pricing

View Drug pricing

More information

• Clinical Documentation
• Disposing of Medications
• Pharmacy 90-day prescription supply
• Pharmacy maintenance choice 100-day
• Using your Pharmacy benefits
• Using your Pharmacy benefits - Spanish
• Rx delivery by mail
• Check your medication costs
• Pharmacy digital tools