Formulary Lists

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Family Spending Time Together

To see the formularies and other covered drug lists as of July 1, 2021, click on the links below: 

[Note: Your ID card will help you determine which formulary will apply to you]

  • National Performance Formulary (NPF)

Those who enroll in one of our Qualified Health Plans, either individually, as a family, or through a small group/organization will use the NPF.

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Blue Rx front of card NPF formulary

National Performance Formulary ("NPF" appears on ID card)

 

 


    Specialty Drug List

    To verify that your specialty medicine is covered with Vermont Blue Rx, view our Specialty Pharmacy program page.

    Drugs requiring prior approval

    Some drugs that are prescribed for medical use require separate Prior Approval. Check the list of Medical prior approval (PA) drugs. (Please note under which benefit - Prescription Drug or Medical - your medication is prescribed by your provider.) If you are covered under your employer's plan, please check with your benefits administrator as you may have a different coverage.

    Unique packaging and therapeutic alternatives (UPTA) excluded drug list

    View the list of drugs that are excluded from coverage due to unique packaging and/or where there is a therapeutic alternative.


    Search pharmacies in the network and compare costs

    To search pharmacies that participate in Vermont Blue Rx in you area, you can use the links below or log in to the Member Resource Center.

    • NPF participating pharmacies ("NPF" (National Performance Formulary) appears on your ID card. Those who enroll in one of our Qualified Health Plans, either individually, as a family, or through a small group/organization will use the NPF option.)
    • BCBSVT formulary participating pharmacies ("BCBSVT" (BlueCross BlueShield of Vermont Formulary) appears on your ID card.)