This list impacts members with a BlueRx Card drug benefit. If you are taking a prescription that fits one of the therapeutic classes identified below, then that drug is considered to be on our maintenance list.
Maintenance drugs may be dispensed in supplies up to a maximum of 100-unit dose quantities, but not to exceed a supply sufficient for 100 consecutive days of therapy.
*Please review the limitations section of your contract to see if certain chronic conditions may allow maintenance dosing.
Note: This does not apply to compound drugs.
Antianginal agents
Antiarrhythmic
Anticoagulants
Anticonvulsants
Antidiabetic
Antidiabetic aldose Reductase inhibitors
Antidiabetic alpha-glucosidase inhibitors
Antidiabetic Amino Acid Derivatives
Antidiabetic biguanides
Antidiabetic glucovance
Antidiabetic insulin sensitizing agents
Antidiabetic meglitinide analogues
Antidiabetic other combos
Antidiabetic sulfonylureas/combos
Antihyperlipidemic
Antihypertensive (includes rauwolfias)
Antiparkinson
Antirheumatic
Beta Blockers (not anti-glaucoma -blockers)
Calcium channel blockers
Cardiac Glycosides
Cobalamins
Diuretics
Estrogens and estrogen combinations
Folic Acid
Gout Agents
Hematopoietic Mixtures
Iron/combos
Mineral & electrolytes (including potassium)
Multiple vitamins (Not OTC)
Peripheral Vasodilators
Progestins
Prostatic Hypertrophy Agent
Thyroid
Vitamins
Xanthines
