Upcoming CareFirst Formulary Updates Effective April 1, 2025
CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (CareFirst) is committed to our mission of providing affordable, accessible care to our members.
We know that any increases in pharmacy spending have the potential to impact our members by making healthcare less affordable and to affect our valued provider partners by lowering payments. Having strong safeguards in place to manage pharmacy spending also benefits providers in value-based contracting arrangements.
To prevent unnecessary increases, we conduct a quarterly review of our formularies and make changes to encourage utilization of safe and clinically cost-effective drugs. A summary of changes effective April 1, 2025, is available for your review.
These updates apply to your patients with CareFirst prescription benefits. Formulary updates may include drug additions, utilization management changes, changes to drug tiers and/or removal of medications.