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.

Texas

English PDF - Coming soon

Spanish PDF - Coming soon

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 2023

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 800-366-5939.

$0 Copay Drug List
English   Español

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

Prescription Drugs Claim Form
English   Español

Coverage Determination Process

Mail Order Form
English   Español

Mail Order Form Summary

Texas Authorization Request Form

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