Blue Cross and Blue Shield of Vermont Open Formulary

The lists, information, tools, and resources listed below apply to those with the Blue Cross and Blue Shield of Vermont Open Formulary.

2020 Blue Cross and Blue Shield of Vermont Preferred Drug List

List of preferred brand name drugs.

 

Prior Approval Drug List

A list of medications that require prior approval.

 

Step Therapy Drug List

Our Step Therapy program saves members money by encouraging their doctors to try less expensive drugs before using the newest, most expensive ones.
 

Rx Quantity Limits

Review a list of the drugs that may require documentation in the event that the amount prescribed exceeds certain criteria.

 

Wellness Drug List

Review our current wellness drug list to see if your medication is eligible for special benefits.

 

Unique Packaging and Therapeutic Alternatives (UPTA) Excluded Drug Lis(04/24/2020)

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

 

2020 Blue Cross and Blue Shield of Vermont Annual Booklet 

List of all Blue Cross and Blue Shield of Vermont formulary drugs, their tier (1, 2 or 3) and any applicable prior approval requirements.