- Introducing Vermont Blue Rx Vermont Blue Rx is the new name of Blue Cross and Blue Shield of Vermont’s pharmacy benefits management (PBM) program. Effective July 1, 2021, Vermont Blue Rx will continue to offer all the same services and benefits that members and providers have had over the years. Pharmacy claims will be administered through OptumRx®, our new PBM administrator.
- Let's Talk about Rx
Prescription drug costs make up 20 percent of every premium dollar, regardless of how you fill your prescriptions. This leads us to find ways to control these costs as best we can. Read our guide on some simple ways for patients to save.
- Pharmacy RX Program (July 1 update coming soon!)
Find out more about the pharmacy benefits with our National Performance Formulary (2021), including a list of Wellness Prescriptions covered on the Gold or Silver CDHPs at no cost to you, or the tier 1 generics that are only $4 on the Platinum or Gold Plans.
- Wellness Rx
Members on a Gold CDHP or Silver CDHP will have access to certain wellness prescriptions at no cost to you.
- National Performance Formulary (July 1 update coming soon!) VEHI uses the National Performance Formulary(NPF). Choose brand named drugs on the preferred drug list can be less costly for you and VEHI, click the link to find the list of preferred brand named drugs on the BCBSVT website.
- Generic Drug List
Members on the Platinum and Gold plan have access to two levels of generic medications. Lower cost generic prescriptions will be $4 per 30 day supply, while higher cost generics will be $10. Click the link to view the latest VEHI Generic Drug (tier one) list. Any generic that is not listed will be the higher copay.
- Pricing Drugs on Vermont Blue Rx (July 1 update coming soon!)
VEHI and Vermont Blue Rx work together to bring you prescriptions at the lowest cost. Sign on to the Member Resource Center to compare drug costs.
- Pharmacy Cost-Sharing Assistance Programs
If you or a family member are in need of a high-cost prescription, and you have upfront exposure on the cost, click the heading to learn more about the cost-share assistance programs offered by the manufacturers.
- Cost Transparency
Use this tool to compare prices of services and providers in Vermont.