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Medication guides for covered drugs

A medication guide lists all the drugs your plan covers, plus any special rules to follow for certain medications. Each plan has its own medication guide:

  • If you’re already enrolled in a Florida Blue plan: You’ll find your medication guide under Pharmacy Resources when you log in to your member account.
  • If you’re looking for a plan and buy your own health insurance for you and your family: See what plans are available to you.
  • If you get your health insurance through your job: Check with your benefit administrator for your plan options, then see those medication guides below.1

The medication guide for each plan shows what tier a prescription drug is in. Tiers determine your cost share, which is the amount you’ll pay for your prescription. Plans may have two to seven tiers. Higher tiers have higher costs, and lower tiers have lower costs.

Review our Lowest Cost Drugs

Before exploring the medication guides below, be sure to explore our Lowest Cost Drugs List. If you’re managing common health issues like high blood pressure or diabetes, you can find affordable options on our lowest-cost drug lists to help you save on the drugs you use most.

  • If your plan has the Essentials Rx medication guide, you’ll have more than 550 common medications at everyday prices. Many of them cost just $5 for Individual Family Plans. Covered medications include those used for treating common conditions like allergies, blood pressure issues, diabetes, inflammation, thyroid conditions, and more.
  • If your plan includes the ValueScript or CareChoices medication guide, your lowest cost drugs can help you save on more than 200 medications. Covered medications include those for treating asthma, blood clotting, bone health, cholesterol control, diabetes care, and more. 

Get to know your medication guide

The medication guides below contain helpful information on how your pharmacy benefits work. Take time to review your plan’s medication guide and learn about the drugs you or your loved ones are taking to be informed.

Do not print or save medication guides as they are updated regularly.

For more: Watch this pharmacy video or see ways to save on your covered medications.

Individual and family plans*

*Includes plans available on or off the Health Insurance Marketplace.
**Medication Guide drug coverage is subject to change at any time, please refer back on or after January 1, 2027 for drug coverage listed in your medication guide.

Small group employer plans

Medication guide for this health plan:

2026 2027
ValueScript Rx (6 tiers) ValueScript Rx

We've organized the medication guides by calendar year. The 2026 guide is for current drug coverage for when your plan renewed on or after January 1, 2026.  The 2027 guide outlines future drug coverage for plan year 2027 and will be available when your plan renews on or after January 1, 2027.

 

Medication guides for this health plan:

2026 2027
Care Choices (7 tiers) Care Choices (7 tiers)
Care Choices (for HSA plans) (7 tiers)  

We've organized the medication guides by calendar year. The 2026 guide is for current drug coverage for when your plan renewed on or after January 1, 2026.  The 2027 guide outlines future drug coverage for plan year 2027 and will be available when your plan renews on or after January 1, 2027.

 

 

Medication guides for this health plan:

2026 2027
Care Choices (7 tiers) Care Choices (7 tiers)
Care Choices (for HSA plans) (7 tiers)  

We've organized the medication guides by calendar year. The 2026 guide is for current drug coverage for when your plan renewed on or after January 1, 2026.  The 2027 guide outlines future drug coverage for plan year 2027 and will be available when your plan renews on or after January 1, 2027.

 

 

Medication guides for this health plan:

2026 2027
Care Choices (7 tiers) Care Choices (7 tiers)
Care Choices (for HSA plans) (7 tiers)  

We've organized the medication guides by calendar year. The 2026 guide is for current drug coverage for when your plan renewed on or after January 1, 2026.  The 2027 guide outlines future drug coverage for plan year 2027 and will be available when your plan renews on or after January 1, 2027.

 

Plans offered through small group employers (fewer than 50 full-time employees).
*Medication Guide drug coverage is subject to change at any time, please refer back on or after January 1, 2027 for drug coverage listed in your medication guide.

Large group employer plans

Plans offered through large group employers (more than 50 full-time employees).
*Medication Guide drug coverage is subject to change at any time, please refer back on or after January 1, 2027 for drug coverage listed in your medication guide.

Responsible Rx Program updates on medication guides and coverage requirements and limitations (January, April, July, and October)

Changes to Florida Blue’s individual and employer group pharmacy programs occur each quarter of the calendar year. These changes affect drug coverage from the medication guides, including prior authorization requirements, the Responsible Quantity and Responsible Step programs, and the Pharmacy Coverage Exclusions list. Florida Blue makes this information available to our in-network providers and viewable for our Florida Blue members.

Medication guides for Medicare eligibles

The medication guides are updated monthly. Links are included below to the Medicare approved formularies and the most recent updates to the printed version of the medication guide for Medicare eligibles.

Please have your patient refer to the pharmacy endorsement or rider issued with his or her contract, Evidence of Coverage, member handbook or certificate of coverage to determine whether a particular medication listed is covered. If your patient is unsure about particular coverage/benefits or has questions about the medication guide, please have the member call the customer service number on his or her ID card. The fact that a particular drug is listed in the guide does not necessarily mean that it is covered under each member's contract, Evidence of Coverage or certificate of coverage.

 

1If you are not sure if your plan is a small, large, or self-funded group, please ask your benefit administrator.

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