Prescription Drug Coverage

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

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.

Pharmacy

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 and independent pharmacies nationwide.2
  • PreCheck MyScript. This digital tool allows prescribing physicians to determine the most affordable, covered medication options for members.
  • Rebates at point-of-sale. Applicable drug rebates are provided directly to members with deductibles or coinsurance plans to help reduce out-of-pocket costs.
  • Online and mobile tools. In addition to a pharmacy lookup tool, members can access a drug pricing tool at ibx.com and the IBX mobile app. Members can compare prices between pharmacies to help find lower-cost alternatives. Our tools also provide messaging about medication adherence and generic drug availability.
  • Mail order. Free home delivery is available for medications members take regularly. Members may also be able to get a 90-day supply of certain medications for the cost of a 60-day supply.
  • Specialty drug savings through FutureScripts. Members receive support from pharmacists and nurses that treat rare, complex, and chronic diseases.
  • NEW! 90-day maintenance medications available at Walgreens. Walgreens has been added to the Preferred Pharmacy network and members in all Blue Solutions plans can get a 90-day supply of maintenance medications at Walgreens retail pharmacies for the same cost-share as mail order.

Vision

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 84,000 access points. 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. Pediatric members are covered in-full for exams and glasses, while adults are covered in full for exams and have up to $130 frame or contact lens allowance, plus 20 percent of any frame overage at participating Davis Vision providers.
  • Enhanced frame allowance at Visionworks. Adult members have the option to use up to $180 frame allowance, plus 20 percent off any overage, at Visionworks locations instead.
  • Quick delivery of replacement contact lenses. There are low prices on same-day shipping5 for replacement lenses and solutions to most locations from davisvisioncontacts.com.
  • Exclusive hearing services.6 Davis Vision members can also take advantage of discounted hearing services from Your Hearing Network, including a free hearing exam, access to a large national network of audiologists and ENTs, and up to 40 percent off national average selling prices on brand name hearing aids.

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