Prescription Drug Coverage

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

Tier 4 Formulary
Tier 5 Formulary

Pharmacy and Vision

Blue Solutions® medical plans include coverage for prescription drugs in addition to enhanced vision benefits for adults age 19 and older.


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

  • A large participating pharmacy network, with up to 68,000 retail pharmacies nationwide2
  • Mail order, which offers additional cost savings and convenience
  • Specialty pharmacy cost-sharing with 24/7 phone and mobile support
  • Lower-cost generic drugs3
  • Online tools including network pharmacy search, drug formulary search, price comparison information, and mail-order request and tracking


Our enhanced adult vision benefits, administered by Davis Vision, cover one in-network eye exam in full per year at no cost at participating providers. In-network benefits include:

  • Choose from participating provider’s own frame collection and receive an allowance or choose from the Davis Vision Exclusive Collection at most independent participating providers for a low or $0 Copay.
  • More than 57,000 provider points of access, including optometrists, ophthalmologists and retail stores. Retail stores include Visionworks, Walmart, Sam’s Club, Costco, and others.
  • Receive an enhanced allowance for use at Visionworks5 locations. Visionworks averages 2,000 frames per store.
  • One-year breakage warranty for repair or replacement
  • Replacement contact lenses or solution anywhere6 on the same day, with guaranteed low prices
  • Discount on laser vision correction at participating providers


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 50,000 retail pharmacies, is included in Silver and Bronze plans and Keystone HMO Proactive plans only.

3 The Mandatory Generic program is included in Silver and Bronze plans and Keystone HMO Proactive plans only.

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

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

6 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.