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Prescription Drug Formulary & Prior Authorization

Select Drug Program®
Learn more about how Independence Blue Cross (IBC) provides access to covered medications while helping to control costs.

Standard Drug Program
Review, in detail, this comprehensive prescription drug coverage, as well as our List of Preferred Drugs.

Prior Authorization
IBC requires prior authorization of certain covered drugs.

Download the Prior Authorization Criteria.*

* The prior authorization criteria for Medicare Part D is available on www.site65.com/providers.

Select Drug Program Formulary

Alphabetical List

Drug Class List

Formulary Changes