Our pharmacy network

Pharmacy networks for commercial plans

Blue Shield of California commercial plans have two pharmacy network types: Rx Ultra and Rx Spectrum. Both networks provide you with access to over 64,000 convenient retail pharmacies nationwide including grocery, discount, and drug stores.

 Rx Ultra Network

The Rx Ultra network supports Individual and Family Plans, Covered California plans, most Small Business plans, and most Large Group plans. This network allows you to visit any participating network pharmacy. You’ll be responsible for the copay or coinsurance listed in your benefits. If your plan has a deductible, that could also impact how much you pay.

For Small Business and most Large Group plans, you can get an extended supply of maintenance medications from any participating network pharmacy.

Rx Spectrum Network

Rx Spectrum serves Small Business Trio HMO plans, and Small Business Tandem PPO plans, and select Large Group plans with the Rx Spectrum rider. This network offers cost savings when you fill a prescription at one of these preferred pharmacies:

• CVS
• Costco
• Safeway
• Vons

You can still use non-preferred network pharmacies, but you could pay a higher cost share for your prescriptions. For Small Business and most Large Group plans, you can get an extended supply of maintenance medications from any participating network pharmacy. You’ll be responsible for the copay or coinsurance listed in your benefits. If your plan has a deductible, that could also impact what you pay.

Prescription home delivery

Receive an extended-day supply of eligible medications by mail, often for less than what you would pay at retail pharmacies

Specialty pharmacies

Specialty pharmacies fill prescriptions used to treat certain complex or chronic conditions that usually require close monitoring and special handling

Medicare pharmacy network

Find a pharmacy in our Blue Shield of California Medicare network

Y0118_24_623A_C 09202024

H2819_24_623A_C Accepted 09302024

Page last updated: 10/01/2024

 

© Blue Shield of California 1999-2024. All rights reserved. Blue Shield of California is an independent member of the Blue Shield Association.

This information is not a complete description of benefits.

 1 Specialty medications and opioids are limited to a 30-day supply.

 The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

 © California Physician’s Service DBA Blue Shield of California 1999-2024. All rights reserved.

California Physician’s Service DBA Blue Shield of California is an independent member of the Blue Shield Association.

For Blue Shield Medicare Advantage Plans: Blue Shield of California is an HMO, HMO D-SNP, PPO and a PDP plan with a Medicare contract and a contract with the California State Medicaid Program. Enrollment in Blue Shield of California depends on contract renewal.

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The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability, or physical disability. La compañía cumple con las leyes de derechos civiles federales y estatales aplicables, y no discrimina, ni excluye ni trata de manera diferente a las personas por su raza, color, país de origen, identificación con determinado grupo étnico, condición médica, información genética, ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual, edad, ni discapacidad física ni mental. 本公司遵守適用的州法律和聯邦民權法律,並且不會以種族、膚色、原國籍、族群認同、醫療狀況、遺傳資訊、血統、宗教、性別、婚姻狀況、性別認同、性取向、年齡、精神殘疾或身體殘疾而進行歧視、排斥或區別對待他人。

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© California Physicians' Service DBA Blue Shield of California 1999-2024. All rights reserved. California Physicians’ Service DBA Blue Shield of California is an independent member of the Blue Shield Association. Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.

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