Upcoming CareFirst Formulary Updates

CareFirst BlueCross BlueShield (CareFirst) is updating its commercial and exchange formularies for members with CareFirst’s prescription benefit. Formulary updates include utilization management, changes to drug tiers, and removal of medications. These formulary updates are effective April 1 for Formularies 1, 2, 3, and 4, and May 1 for Exchange Formulary. Formulary updates may occur quarterly to help ensure drugs are safe and clinically cost-effective. You can view a complete summary of changes here.

Please note: Formulary updates are subject to change and utilization management changes are communicated to you as required by Maryland Insurance Code §15-854.