Provider Central

Medicare Advantage formulary

• Medicare HMO Blue
• Medicare PPO Blue

Standard Control with Advanced Control Specialty Formulary
(managed by CVS Caremark)

• Commercial HMO
• Commercial PPO plans

(Offered through certain self-insured employers)

Blue Cross formulary (Blue Cross manages)

• Commercial members with a medical plan that includes pharmacy benefits
• Group Medex members with a three-tier pharmacy benefit

Basic Option formulary
FEP Blue Focus formulary
Standard Option formulary

• Federal Employee Program

Basic Option Medicare Prescription Drug Program
FEP Blue Focus Medicare Prescription Drug Program
Standard Option Medicare Prescription Drug Program

• Federal Employee Program members with Medicare