Covered Medications

The CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP) Formulary is a list of drugs covered by a plan. Formularies are developed to meet the needs of most members based on the most commonly prescribed drugs, including certain prescription drugs Medicare requires that we cover. DualPrime covers both brand name drugs and generic drugs.

Find a Prescription

The DualPrime Medicare Part D formulary is approved by Medicare and updated throughout the plan year and may change if:

  • The plan no longer covers a drug.
  • A new drug is added.
  • A prior authorization, step therapy restriction or quantity limit has been added or changed for a drug.
  • A drug is removed from the market.

However, if the U.S. Food and Drug Administration (FDA) deems a drug on our formulary to be unsafe, or if the drug's manufacturer removes the drug from the market, we may immediately remove the drug from the DualPrime Part D formulary and notify all affected members as soon as possible.

You may download the DualPrime Formulary documents located within the table below or use our Formulary Search Tool to find medications covered under your plan. If you have questions about using this Formulary Search tool or if you would like to be mailed a hard copy of the formulary, please call Member Services at 844-786-6762 (TTY: 711), 24 hours a day, seven days a week.

List of Covered Drugs 2024

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Download a copy of our 2024 Comprehensive Formulary/Drug List English | Spanish

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Download a copy of our 2024 Prior Authorization English | Spanish

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Download a copy of our 2024 Step-Therapy Criteria English | Spanish

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Download a copy of our 2024 Formulary Changes English | Spanish

For certain kinds of drugs, you can use CareFirst Medicare Advantage’s network mail-order service, CVS Caremark Mail Service Pharmacy®. Most times, the drugs provided through mail order are drugs that you take on a regular basis for a chronic or long-term medical condition. Click here to access the mail service order form

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Mail-order drugs usually arrive within 10 days. Please call Part D Member Services at 844-786-6762 (TTY: 711), 24 hours a day, seven days a week. If you do not receive your mail-order drugs within this timeframe, please call the phone number listed on the back of your member ID card.

Please refer to your Evidence of Coverage (EOC) for more information.