This article is for endocrinologists, primary care providers, nurse practitioners, and physician assistants. Please also share with case managers, certified diabetes educators, and pharmacists associated with your practice.
|Which members use the Blue Cross standard formulary?
When you prescribe the diabetes medications listed below, please consider the lower cost (lower tier) option, if clinically appropriate. There are equally effective options available on our standard formulary (list of covered medications) that don’t require a formulary exception.
Our members can also save money when they use the Express Scripts PharmacySM (mail order) for a 90-day supply of their medication.
Preferred formulation on our covered list of medications
|Please consider prescribing this tier 1* medication||Instead of these higher-cost medications that require formulary exception|
*This medication is covered at tier 1 for members with a three-tier pharmacy benefit.
Costs and coverage
To learn more about lower-cost options and our Metformin step therapy criteria, read our Metformin Extended Release Fact Sheet.
Call Angela Burnham, PharmD, Pharmacy Provider Partnership Manager, at 1-617-246-2448.