Lists of Covered Medications

Specialty Drug List

To verify that your specialty medicine is covered with Vermont Blue Rx, we encourage you to sign into the Member Resource Center and access our Specialty Pharmacy for the most up-to-date list of covered specialty medicines. You can also view the list below.

View the specialty drug list

You can purchase your specialty medicines through one of our preferred providers listed below and pay less. Be sure to verify that your specialty medication is covered with Vermont Blue Rx prior to having it filled. 

Drugs requiring prior approval

Some drugs that are prescribed for medical use require separate Prior Approval. Please note under which benefit - Prescription Drug or Medical - your medication is prescribed by your provider. If you are covered under your employer's plan, please check with your benefits administrator as you may have a different coverage.

• List of medical prior approval drugs (eff. 12/01/24)

To request prior authorization or approval of an excluded medication, providers have the following options available:

• Use CoverMyMeds (Member ID should include the last letter (usually V) followed by twelve numbers and the two-digit member number)
• Call Vermont Blue Rx at (800) 313-7879

Unique packaging and therapeutic alternatives (UPTA) excluded drug list

View the list of drugs that are excluded from coverage due to unique packaging and/or where there is a therapeutic alternative.

Vermont Education Health Initiative — VEHI

• 2024 Generic Tier Drug List  (for Platinum and Gold Plans only)
• 2025 Generic Tier Drug List (eff. 01/01/25)