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Pharmacy Benefits
  Prescription Claim Form (PDF)
  Claim Search
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  Go Generic
  Mail-Order Drugs
  Pharmacy Search
  Specialty Drugs
  Using Your Benefits
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To use your pharmacy coverage, present your member ID card at a participating pharmacy. Some members have a separate drug card for pharmacy benefits. Your ID card should list your copayments and coinsurance if applicable. survey


Personal Benefits Information
Pharmacy Claim Search: Your prescriptions claims history, including prescription number, date filled, prescriber, quantity, pharmacy, amount paid by you and amount paid by your pharmacy plan.

Note: To access information about your personal pharmacy claims, you must register to use My Blueprint, our member self-service center.


Network Pharmacy Search: Search for a network pharmacy by name, city, state or zip code. Maps and driving directions are provided.

To Keep You Informed
Find Drug Information: Information about medications, their use, how to take them, and possible side effects.

To Serve You Better
Federal Employee Program (FEP): Information on providers, pharmacy programs, benefits and resources for federal employees.

Mail-Order Drugs: A description of the mail-order option some employers have chosen for their employees and a link to the mail-order form.

Prescription Claim Form (882 KB PDF): Printable form in portable document format (PDF).

Specialty Drugs: A description of the program that covers injectable and select oral medications.

Using Your Pharmacy Benefits: How to use your benefits and the advantages your pharmacy plan offers you.

Go Generic
Go Generic: Information about the cost and quality of generic drugs, including:


Printable Drug Lists
2009 Preferred Drug List (43 KB PDF): Generic and lower-cost brand-name medications.


Formulary One (3034 KB PDF): List of common generic, preferred and third-tier drugs and those that require prior authorization.


Formulary Two (3162 KB PDF): (formerly called Complete Care)


Formulary Three (442 KB PDF): Commonly Prescribed Drugs Not Covered


Formulary Three (525 KB PDF): Commonly Prescribed Covered Drugs


Maintenance Drugs (42 KB PDF): Medications considered to be necessary for long periods of time.


Prior Authorization List (31 KB PDF): Medications that require prior approval. For authorization, call (501) 378-3392.




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Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue
Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.
Copyright © 2001-2009 Arkansas Blue Cross and Blue Shield

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