Update
Drug Formulary Changes

The prescription drug formulary is updated quarterly for Blue Cross and Blue Shield of Oklahoma and BlueLincs HMO^SM members with a three-tier drug plan. The most up-to-date and complete formulary listing is on the prescription drug information page for members at bcbsok.com.

What does the tiered formulary mean to members?

• Tier I—(generic) gives the lowest cost to members.
• Tier II—(preferred brand name) calls for a somewhat higher cost to members.
• Tier III—(brand name) typically calls for the highest cost to members.

The following changes will be made to the formulary effective April 1, 2011:

Drugs listed/moved to Tier III

• Actoplus Met
• Actoplus Met XR
• Actos
• Allegra-D
• Differin
• Duetact
• Fosamax
• Freestyle Glucose Test Strips
• Oforta
• Precision Glucose Test Strips
• Premarin
• Premarin Cream
• Premphase
• Prempro
• Restoril
• Tracleer
• Ultrase MT
• Viokase
• Votrient

Drugs with available generics
(Brands also listed/moved to Tier III)

• Arimidex
• Effexor XR
• Exelon
• Yasmin

Drugs listed/moved to Tier II

• Ascensia and Bayer Glucose Test Strips

Click – View the up-to-date prescription drug formulary at bcbsok.com/prescriptionDrug.html.