2023 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5(f). Prescription Drug Benefits
Section 5(f). Prescription Drug Benefits
Benefits Description
Over-the-counter (OTC) contraceptive drugs and devices, limited to:
Note: We provide benefits in full for OTC contraceptive drugs and devices when the contraceptives meet U.S FDA standards for OTC products. To receive benefits, you must use a Preferred retail pharmacy and present the pharmacist with a written prescription from your physician.
You Pay
Preferred retail and overseas retail pharmacy: Nothing (no deductible)
Non-preferred retail pharmacy: You pay all charges
Note: See Section 5(i), page 108, for information on how to file claims for overseas services.
Over-the-counter (OTC) contraceptive drugs and devices, limited to:
- Emergency contraceptive pills
- Condoms
- Spermicides
- Sponges
Note: We provide benefits in full for OTC contraceptive drugs and devices when the contraceptives meet U.S FDA standards for OTC products. To receive benefits, you must use a Preferred retail pharmacy and present the pharmacist with a written prescription from your physician.
You Pay
Preferred retail and overseas retail pharmacy: Nothing (no deductible)
Non-preferred retail pharmacy: You pay all charges
Note: See Section 5(i), page 108, for information on how to file claims for overseas services.