Provider Prescription Drugs

About the Formulary

The Formulary is your guide to prescription drugs covered by Blue Cross Blue Shield of Arizona Health Choice. The Formulary is organized by sections. Each section includes therapeutic groups identified by either a drug class or disease state. Products are listed by generic name. Brand name products are included as a reference to assist in product recognition. Unless exceptions are noted, generally all dosage forms and strengths of the drug cited are covered. In addition, the formulary covers selected over-the-counter (OTC) products.

Here is how you can view or search the Formulary:
Comprehensive Formulary – effective 7/1/2025

To request a printed copy of our Formularies, call Member Services at 1-800-322-8670, TTY: 711, 8 a.m. – 5 p.m., Monday through Friday (except holidays).

We may add or remove drugs from our Formularies during the year. We will post Formulary updates here:
Formulary Add & Deletions – effective 7/1/2025

To get updated information about covered drugs, call Member Services at 1-800-322-8670, TTY:711, 8 a.m. – 5 p.m., Monday through Friday (except holidays). You may also contact us by email at HCHComments@azblue.com

Requirements or Limits on Coverage

Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include:

We may require prior authorization for certain drugs. You will need to get approval from us for drugs noted with a “PA” in the drug list or for any drugs not listed in the formulary. If you do not get approval, we may not cover the cost of the drug.

Medication Prior Authorization Criteria
Pharmacy Services Prior Authorization Form
For certain drugs, we may limit the amount of the drug that our plan will cover.

You can ask us to make an exception to these restrictions or limits. Please call us at 800-322-8670.
You can request a Pharmacy Coverage Determination or exception online by visiting our Prior Authorization/Pre-Certification Portal