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 presciptions:.

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

Additional Resources for 2021

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 833-661-1988.

2020 Formulary Resources

With Bright HealthCare plans, not only your prescriptions may be covered, but also several of your over-the-counter (OTC) medicines as well. Use our comprehensive formulary PDFs to see what’s covered. If you don’t find the medication you’re looking for, chances are there is a substitute that could work for you.

Questions about the formulary? We can help. Call our pharmacy team at 833-661-1988.

 

Alabama

Arizona

Colorado

Florida

Nebraska

North Carolina

Oklahoma

South Carolina

Tennessee

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 833-661-1988.

 

Prior Authorization Form

Prior Authorization Form (Colorado)

Prescription Reimbursement Claim Form

Prior Authorization Exception Process

Prior Authorization Clinical Criteria (Colorado)

Elixir Mail Order Summary

Elixir Mail Order Form (English)

Elixir Mail Order Form (Español)