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.
Bright HealthCare plans include coverage for many prescription and over-the-counter drugs.
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.
Alabama
English PDF
Spanish PDF
Arizona
English PDF
Spanish PDF
Colorado
English PDF
Spanish PDF
California
English PDF
Spanish PDF
Florida
English PDF
Spanish PDF
Georgia
English PDF
Spanish PDF
Illinois
English PDF
Spanish PDF
Nebraska
English PDF
Spanish PDF
North Carolina
English PDF
Spanish PDF
Oklahoma
English PDF
Spanish PDF
South Carolina
English PDF
Spanish PDF
Tennessee
English PDF
Spanish PDF
Texas
English PDF
Spanish PDF
Virginia
English PDF
Spanish PDF
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:.
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
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
Alabama
English PDF
Spanish PDF
Arizona
English PDF
Spanish PDF
Colorado
English PDF
Spanish PDF
Florida
English PDF
Spanish PDF
Illinois
English PDF
Spanish PDF
Nebraska
English PDF
Spanish PDF
North Carolina
English PDF
Spanish PDF
Oklahoma
English PDF
Spanish PDF
South Carolina
English PDF
Spanish PDF
Tennessee
English PDF
Spanish PDF
$0 Copay Preventive Drug List English Spanish
Prior Authorization Form (Colorado)
Prior Authorization Form (Illinois)
Step Therapy Clinical Criteria (Colorado)
Prescription Reimbursement Claim Form English Spanish
Prior Authorization Exception Process
Prior Authorization Clinical Criteria (Colorado)
Elixir Mail Order Form (English)