Prescription Drugs for PSHB - Active (2024)

Take a closer look at our prescription drug coverage and pharmacy programs.

What you need to know about the Postal Service Health Benefits (PSHB) Program

FEP is committed to providing Postal Service employees, retirees and their families with some of the best health care benefits possible. As an approved carrier in the PSHB Program, FEP will continue to deliver the same great coverage, incentives and discounts that you rely on today.

Jump to

  • Drug lists
  • Find a Pharmacy
  • Drug tiers
  • Drug benefits
  • Pharmacy programs
  • Prior approval

Pharmacy coverage Postal Service employees can count on

The drug list includes all covered prescription drugs, including generic, brand name and specialty drugs for your plan. You can fill your prescriptions at over 55,000 retail pharmacies, through the FEP Mail Service Program or the FEP Specialty Pharmacy Program.

2025 Drug Lists

FEP Blue Focus®

View Traditional Drug List

FEP Blue BasicTM

View Traditional Drug List

FEP Blue StandardTM

View Traditional Drug List

Filling your prescriptions

Retail Pharmacy Program

Pick up your prescriptions conveniently at one of our more than 55,000 in-network pharmacies.

FEP Mail Service Pharmacy Program

If you’re a FEP Blue Standard member or FEP Blue Basic member with Medicare Part B primary, get your prescriptions delivered directly to your door.

FEP Specialty Pharmacy Program

Exclusively for members who are prescribed specialty drugs, this program helps you get them at a reasonable cost.

If you have questions about how to fill your prescriptions, see the bottom of this page for helpful contact information.

Try our Prescription Drug Cost Tool

Our Prescription Drug Cost Tool lets you check drug costs 24/7. See if your drug is covered under your current plan and compare costs of covered drugs for all three plans. Please note 2025 pricing information will be available on the tool starting October 19, 2024. If you’re a member and logged in to MyBlue, you can access a personalized tool that shows you the cost of prescription drugs for your specific plan.

Check Drug Costs

Get access to over 55,000 retail pharmacies nationwide

We have a network of over 55,000 Preferred retail pharmacies nationwide to fill your prescriptions. Use our pharmacy locator tool to find one near you.

Find a Pharmacy

Prescription Drugs for PSHB - Active (1)

Drug tiers

We organize our covered prescription drugs into Generics, Preferred Brand Name, Non-preferred Brand Name, Preferred Specialty and Non-preferred Specialty, which are known as tiers. The amount you pay for a drug depends on the tier. In general, the lower the drug tier, the less you pay.

  • There are five drug tiers under the traditional pharmacy benefit for FEP Blue Basic™and FEP Blue Standard™.

  • There are only two drug tiers under the traditional pharmacy benefit for FEP Blue Focus®.

  • There are four drug tiers under MPDP for all our plans.

Prescription drug benefits for Postal Service employees

FEP Blue Focus FEP Blue Basic FEP Blue Standard
Retail Pharmacy

Generics: $5 copay for up to a 30-day supply; $15 copay for a 31 to 90-day supply

Preferred brand: 40% of our allowance ($350 maximum) for up to a 30-day supply; $1,050 maximum for 31 to 90-day supply

Generics: $15copay for up to a 30-day supply; $40 copay for a 31 to 90-day supply

Preferred brand:$75copay for up to a 30-day supply; $200 copay for a 31 to 90-day supply

Non-preferred brand:60%of our allowance ($90minimum) for up to a 30-day supply; $250 minimum for a 31 to 90-day supply

Preferred specialty: $120 copay

Non-preferred specialty: $200 copay

Preferred specialty and Non-preferred specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program.

Generics: $7.50copay for up to a 30-day supply; $22.50 copay for a 31 to 90-day supply

Preferred brand:30%of our allowance

Non-preferred brand:50%of our allowance

Preferred specialty:30%of our allowance

Non-preferred specialty: 30%of our allowance

Preferred specialty and Non-preferred specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program.

FEP Mail Service Pharmacy Not available Available to members with Medicare Part B primary only. Visit the Medicarepage for more information.

Generics: $15 copay

Preferred brand: $90copay

Non-preferred brand: $125copay

Covers a 22 to 90-day supply. Nothing for the first 4 prescription fills or refills when you switch from certain brand name drugs to specific generic drugs.

Specialty Pharmacy

Preferred specialty: 40% of our allowance ($350 maximum)

Specialty drugs are limited to a 30-day supply.

Preferred specialty: $120 copay for up to a 30-day supply; $350 copay for a 31 to 90-day supply

Non-preferred specialty: $200 copay for up to a 30-day supply; $500 for a 31 to 90-day supply

90-day supply may only be obtained after third fill.

Preferred specialty: $65 copay for up to a 30-day supply; $185 copay for a 31 to 90-day supply

Non-preferred specialty: $85copay for up to a 30-day supply; $240 copay for a 31 to 90-day supply

90-day supply may only be obtained after third fill.

This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal brochures (FEP Blue Standard and FEP Blue Basic: RI 71-020; FEP Blue Focus: 71-025). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.

Helping you manage your prescriptions

We have programs that help you make the most of your prescription benefits and save money.

Specialty Pharmacy Program

Available to members with complex health conditions who need specialty drugs, including oral, inhaled, injected and infused drugs. This program also offers personalized support, convenient delivery, digital tools and more.

View Specialty Drug List

Patient-Centered Care (PCare) Program

Available to members at no cost, this comprehensive medication-therapy management program allows you to speak directly with a clinical pharmacist over the phone or via video chat to get help managing your medication therapy and lifestyle choices so you can reach your health goals.

View to Learn More

Standard Option Generic Incentive Program

For FEP Blue Standard members who switch to a generic medication, we’ll waive your cost share for your first four prescription fills or refills.

View and download the Generic Incentive Program Drug Listto see if there’s an alternative generic drug that can appropriately treat your condition.

Discount Drug Program

Discounts may vary, but members can save an average of 24% off some prescription drugs not covered by our pharmacy benefits.

View and download our Discount Drug Program Quick Reference Guideto learn more.

Have questions? Review our FAQs.

Your pharmacy coverage works outside the U.S., too*

Since there are no in-network retail pharmacies overseas, you need to pay for your prescriptions out-of-pocket and then submit your receipts and a completed claim form to get reimbursed. Overseas prescription drug claims must be submitted within one year of the purchase date.

Learn More

Prescription Drugs for PSHB - Active (2)

Prior approval and covered equivalents

To give prior approval, we need to confirm two things: 1. that you’re using the drug to treat something we cover and 2. that your healthcare provider prescribes it in a medically appropriate way.

Your healthcare provider can request prior approval electronically, by fax or by mail. The full list of drugs that need to be approved, prior approval forms and additional information can be downloaded here.

Your health care provider can request prior approval by contacting your local BCBS company. The full list of these select drugs can be downloaded here.

There are equivalents for drugs that are not covered on our drug list. You can see the list of what’s not covered and available alternative options for FEP Blue Standard and FEP Blue Basic. FEP Blue Focus members can apply for coverage of a drug not covered on their drug list with the Non-Formulary Exception Process (NFE) form.

Have questions about our prescription drug coverage?

Retail Pharmacy Program

1-800-624-5060

Mail Service Pharmacy

For refills, call: 1-877-FEP-FILL (1-877-337-3455)

1-800-262-7890

Speciality Drug Program

1-888-346-3731

National Information Center

1-800-411-BLUE

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Prescription Drugs for PSHB - Active (2024)
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