Individual & Family covered medications

Bright HealthCare plans include coverage for many prescription and over-the-counter drugs.

Comprehensive Formulary

Formulary is the formal name for the list of medications covered by your Bright HealthCare plan. It is sometimes called a “Drug List.” You can find your state-based Formulary information on this page.

We encourage you to learn more about how to read the Formulary before using it.

Pharmacy 101: Prescription costs and coverage for individuals and families

Once you’ve mastered the Formulary, find out how to save money on your prescriptions:.

Pharmacy 101: Top 3 money-saving tips on prescription drugs

Additional Resources for 2022

Check out these helpful forms and documents to help you navigate prescription authorizations and claims. You can request a prior authorization, request reimbursement, or even sign up for mail order. We’re here to help with any questions! Just call 833-726-0670.

Affordable Care Act (ACA) $0 Copay Preventive Drug List English Español

$0 Copay Tier 6 Generic Drug List (Does not apply to California) English Español

Mail Order Form (English)

Mail Order Form (Español)

Mail Order Summary

Prior Authorization Criteria California Colorado Illinois Texas Utah

Electronic Prior Authorization Requests

Prior Authorization Forms Arizona California Colorado Florida Illinois Texas All other states

Prescription Reimbursement Claim Form English Español

Step Therapy Criteria English

Coverage Determination Process

Colorado Annual Authorization Requests