Pharmacy RX Program Find out more about the pharmacy benefits with our National Performance Formulary (2020), 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 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 ESI VEHI and BCBSVT partner with the pharmacy benefit manager Express-Scripts Inc. (ESI) to bring you prescriptions at the lowest cost. Click the compass to check the ESI website (log on required) to find out the cost of a prescription before you get to the pharmacy, to find a pharmacy, or see if there are equivalent prescriptions that you can get at a lower cost. You can also reach this information via the Member Resource Center without an additional sign-on.
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.