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

FEP Blue Basic™ formulary
FEP Blue Focus^® formulary
FEP Blue Standard formulary

• Federal Employee Program

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

• Federal Employee Program members with Medicare