Find new announcements about formulary and policy changes. Please see the User guide for more information on how to read these policies. Be sure to check back here for the latest policy updates.
Effective: March 1, 2025
Medication Policy and Formulary Updates – 1st Quarter 2025 (PDF, 161 KB)
Effective: January 1, 2025
Medication Policy and Formulary Updates – 4th Quarter 2024 (PDF, 1.1 MB)
Effective: September 4, 2024
Medication Policy and Formulary Updates – 3rd Quarter 2024 (PDF, 178 KB)
Effective: June 5, 2024
Medication Policy and Formulary Updates – 2nd Quarter 2024 (PDF, 1.5 MB))
Effective: February 29, 2024
Medication Policy and Formulary Updates – 1st Quarter 2024 (PDF, 1.1 MB)
Effective: January 1, 2024
Medication Policy and Formulary Updates – 4th Quarter 2023 (PDF, 1.2 MB)
Medical benefit drug policy for Medi-Cal plans
Find medication and treatment policy documents.
Medication and medical benefit drug policy for Medicare and Commercial plans
Find medication and treatment policy documents
Medication policy user guide
This brief user guide describes our medication policy, explains terms used, and includes contact info for more information.
About medication policy
Find out how our medication policy, which determines if a service will be covered by a plan, is reviewed and updated.
Site of service program
Find the list of qualified, home infusion, non-facility-owned infusion centers or physician offices to which Blue Shield may direct commercial plan members who have prescriptions for medication infusion therapy services in an outpatient hospital setting.
Drug formulary, policy and forms
Search our drug formulary database, get prior authorization forms, and find information on oral and topical drugs, home-injectable drugs and more.