Blue MedicareRx formularies may change during a calendar year if we remove a drug, change a drug’s tier, or add a special coverage requirement. If a change affects a drug you take, we will notify you at least 60 days in advance, as required by Medicare. Sometimes, we must remove a drug immediately for safety reasons or due to its discontinuation by the manufacturer. If a sudden removal occurs, we will notify our affected members as soon as possible.
We may immediately remove a brand name drug on our Drug List if we are replacing it with a new generic drug that will appear on the same or lower cost sharing tier and with the same or fewer restrictions. Also, when adding the new generic drug, we may decide to keep the brand name drug on our Drug List, but immediately move it to a different cost-sharing tier or add new restrictions. We may not tell you in advance before we make that change-even if you are currently taking the brand name drug.