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Pharmacy benefits FEP
Pharmacy benefits
Prescription drug benefits are an important part of your Blue Shield health plan. Understanding your pharmacy benefits can help you save money.

  • Access to an extensive pharmacy network across the United States, including Albertsons, Costco, CVS Pharmacy, CVS Pharmacy at Target, Safeway, Vons, Walmart, and more!
  • Locate a network pharmacy near you by using our Pharmacy Locator.
  • Save ~30% with 90-days refills for covered maintenance drugs from the mail-service pharmacy
  • Retail pharmacy (90-day supply) now available for Access+ HMO for covered maintenance drugs from select retailers
  • Your cost share is zero if your prescription is on our Value-Based Tier Drug (VBTD) list which includes select preferred generic and brand-name medications for chronic conditions such as asthma, high blood pressure, high cholesterol, and diabetes
  • Estimate the costs of outpatient prescription drugs by using our drug pricing tool.
  • For pharmacy resources visit blueshieldca.com/pharmacy.

Access+ HMO Plan

2024 Pharmacy benefits-at-a-glance

Prescription drugs
Retail pharmacy (30-day supply) $10 per Tier 1 prescription
$50 per Tier 2 prescription, applicable to $250 deductible
50% per Tier 3 prescription, $50 minimum/$200 maximum, applicable to $250 deductible
30% per Tier 4 prescription, up to $250 max (excluding specialty drugs), applicable to $250 deductible
Network Specialty Pharmacy – 30% per Tier 4 prescription, up to $250 max (includes home self-injectable and specialty drugs)
Retail pharmacy (90-day supply) $30 per Tier 1 prescription
$150 per Tier 2 prescription, applicable to $250 deductible
50% per Tier 3 prescription, $150 minimum/$600 maximum, applicable to $250 deductible
30% per Tier 4 prescription, up to $750 max (excluding specialty drugs), applicable to $250 deductible
Mail service (90-day supply) $20 per Tier 1 prescription
$100 per Tier 2 prescription, applicable to $250 deductible
50% per Tier 3 prescription, $100 minimum/$400 maximum, applicable to $250 deductible
30% per Tier 4 prescription, up to $500 max (excluding specialty drugs), applicable to $250 deductible