A drug list, or formulary, is a list of preferred drugs available to BCBSNM members. How much you pay out-of-pocket for prescription drugs is determined by whether your medication is on the Drug List. Within a drug list, generally the lower the tier, the lower the cost of the drug. Your doctor should consult the Drug List when prescribing drugs for you.
The drug lists below are used with your health plan if all of these apply to you:
- You enrolled in a plan on your own (instead of through your employer) and
- Your plan is a "metallic" health plan, which can include a Gold, Silver, Bronze, Multi-State or Catastrophic plan.
Your prescription drug benefits through BCBSNM may be based on one of two different drug lists:
- A Standard Drug List is a list of preferred drugs which are considered to be safe and cost-effective.
- A Generics Plus Drug List is a smaller version of the Standard Drug List. It covers drugs for the major drug classes, but includes mostly generic drugs and fewer brand-name drugs.
These drug lists are effective January 1, 2015:
These drugs lists were effective January 1, 2014 (Coverage ends December 31, 2014, with the exception of a plan with an off-cycle 2015 renewal date. Check your benefit materials for details.):
Want to know which Drug List your New Mexico Health Insurance Exchange plan uses?