Formulary
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Formulary

The Highmark Formulary is designed to maintain high-quality patient care while containing costs. Learn more.

What Is the Highmark FormularyAuthentication Required

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Highmark Formulary

Highmark Commercial National Select Formulary

Review the Highmark Commercial National Select Formulary by drug name or therapeutic class.

Highmark Commercial Comprehensive Formulary

Search the Highmark Commercial Comprehensive Formulary by drug name or therapeutic class.

Highmark Healthcare Reform Comprehensive Formulary

Explore the Highmark Healthcare Reform Comprehensive Formulary by drug name or therapeutic class.

Highmark Healthcare Reform Essential Formulary

Review the Highmark Healthcare Reform Essential Formulary by drug name or therapeutic class.

Medicare Formularies

Medicare plans Part B and Part D cover both generic and brand-name prescription drugs. Highmark’s Medicare Advantage products also cover some additional specialty drugs.

MEDICARE FORMULARIESAuthentication Required

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Formulary Updates

Formularies and pharmaceutical management procedures are updated on a bi-monthly basis. Get more information here.

Additional Help

Check out the Highmark Provider Manual for more information.

PROVIDER MANUAL – PRESCRIPTION DRUG PROGRAMSAuthentication Required

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Clinical Services

Still have questions? Call us: 8:30 a.m. to 7 p.m. Monday through Friday, 8:30 a.m. to 4:30 p.m. Saturday and Sunday.

About Highmark

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®Blue Shield and the Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.

The following entities serve central and southeastern Pennsylvania and are independent licensees of the Blue Cross Blue Shield Association: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.

All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies