Prescription Drug Coverage

For Independence pharmacy plans, drug formularies are available at the following links:

For 2017 plans:
Tier 4 Formulary
Tier 5 Formulary

For 2018 plans:
Tier 4 Formulary
Tier 5 Formulary

Pharmacy and Vision Benefits for Small Businesses

With coverage included for prescription drugs and adult and pediatric vision, Blue Solutions plans help members better manage their total health — which in turn helps reduce your overall health care costs.


Our prescription drug benefits, administered by FutureScripts® 1, give your employees access to:

  • A large participating network. The network includes more than 68,000 retail pharmacies nationwide.2
  • Convenience and savings with mail order. Members can get medications delivered to their home for no cost. For some medications, members may be able to get a 90-day supply for the cost of a 60-day supply.
  • Specialty drug savings with BriovaRx®. Members receive support from pharmacists and nurses experienced in treating rare, complex, and chronic diseases.
  • Lower-cost generic drugs. Certain plans allow members to pay even less than standard generic cost-sharing for some generic drugs.
  • Easy-to-use online tools. Find a network pharmacy, estimate drug costs, review claims, and submit mail-order requests at


Our adult vision benefits, administered by Davis Vision3, cover one routine eye exam in full per year when using participating providers. Employees also have access to:

  • More than 72,000 provider points of access. Members can choose from an extensive network of optometrists and ophthalmologists and retail locations, including Visionworks4, Walmart, Sam’s Club, and Costco.
  • Comprehensive frame and lens coverage. Members pay a low or $0 copay when they choose frames from the Davis Vision Exclusive Collection, or members can receive an allowance for choosing from a participating provider’s own frame collection.
  • Enhanced frame allowance at Visionworks. Members get an extra $50 to spend toward the purchase of frames at Visionworks retail stores.
  • Quick delivery of replacement contact lenses. There are low prices on same-day shipping5 for replacement lenses and solutions to most locations from
  • Affordable hearing care. All Davis Vision members have access to a routine hearing test and discounts on brand-name hearing aids through EPIC Hearing6, an industry leader.

1 FutureScripts is an independent company providing pharmacy benefits management services for Independence Blue Cross.

2 The FutureScripts Preferred Pharmacy network, which includes more than 68,000 retail pharmacies, is included in Silver and Bronze plans and Keystone HMO Proactive plans only.

3 Independence Blue Cross vision benefits are administered by Davis Vision, an independent company.

4 An affiliate of Independence Blue Cross has a financial interest in Visionworks.

5 Shipping is available in the United States, including Hawaii and Alaska. Shipping outside the United States, including Puerto Rico, is not available at this time.

6 EPIC Hearing products and services are made available through your coverage with Davis Vision. EPIC Hearing is not affiliated with Independence Blue Cross, and does not provide Blue Cross or Blue Shield products or services. EPIC and/or Davis Vision are responsible for these products and services.