Covered Medications
The CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP) Formulary contains a list of drugs covered by a plan. Formularies are developed to meet the needs of 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.
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 2024 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
List of Covered Drugs 2025
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
There are four ways to get started with mail order:
- Ask your doctor to send an electronic prescription for a 3-month supply of your medication to our mail service pharmacy partner, CVS Caremark® Mail Service Pharmacy.
- Sign in to www.caremark.com Select Prescriptions, then select Start Rx Delivery by Mail. Enter your drug information to confirm your drug is covered and follow the prompts to submit your request. The mail service pharmacy will contact your doctor and get the process started for you. (Note: You cannot access this option from the Caremark app.)
- Call Customer Care at 1-844-786-6762, 24 hours a day, 7 days a week (TTY: 711).
- Submit a claim form directly.
Please refer to your Evidence of Coverage (EOC) for more information.