Medication policy

Here you'll find medication policy and updates about injectable drugs, as well as our medication policy user guide and information about our medication policy.

Medical benefit drug policy for Medi-Cal plans

Find medication and treatment policy documents.

Medication and medical benefit drug policy for Medicare and Commercial plans

Find medication and treatment policy documents

Medication policy updates

Find announcements about formulary and policy changes.

Medication policy user guide

This brief user guide describes our medication policy, explains terms used, and includes contact info for more information.

About medication policy

Find out how our medication policy, which determines if a service will be covered by a plan, is reviewed and updated.

Drug formulary, policy and forms

Search our drug formulary database, get prior authorization forms, and find information on oral and topical drugs, home-injectable drugs and more.

Medical policy for out-of-state Blue plan members

Find a medical policy for your patients who are out-of-state Blue plan members.

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