Get the free Preferred Drug List

This document provides a comprehensive list of medications covered under Empire BlueCross’s pharmacy benefit, including guidelines for prior authorization and details about brand-name and generic

How to fill out preferred drug list

How to fill out Preferred Drug List

1. Obtain the Preferred Drug List (PDL) from the relevant healthcare provider or insurance company.
2. Review the list to understand which medications are preferred and which are not.
3. Assess the patient's current medications and identify if they are on the preferred list.
4. If a prescribed medication is not on the list, check for alternatives that are included.
5. Complete any necessary forms or documentation required to submit the PDL.
6. Submit the PDL along with any required supporting information to the appropriate review committee or healthcare provider.

Who needs Preferred Drug List?

1. Patients who require prescription medications and are covered by a health insurance plan that uses a PDL.
2. Healthcare providers who prescribe medications and need to ensure that their prescriptions align with the preferred list.
3. Pharmacists who dispense medications and need to verify if prescribed drugs meet insurance coverage criteria.

People Also Ask about

What is the difference between preferred and standard drugs?

One way you may be able to save money is by using a preferred pharmacy instead of a standard pharmacy. A preferred pharmacy is in your network and saves you money on your copays. A standard pharmacy is also in your network but has slightly higher copays.

What is a preferred drug?

Your preferred drug list, sometimes called a formulary, is a list of brand-name and generic medications that are preferred by your plan. These medications are selected because they can safely and effectively treat most medical conditions while helping to contain costs for you and your plan.

What is the #1 most prescribed drug?

Top 20 prescribed drugs by percentage of claims in 2025 YTD RankDrug nameExplore dataset 1 calcium Explore 2 besylate Explore 3 Levothyroxine sodium Explore 4 Lisinopril Explore16 more rows • May 13, 2025

What does it mean when a drug is preferred?

Preferred Brand-Name Drugs These are drugs for which generic equivalents are not available. They have been in the market for a time and are widely accepted. Express Scripts has arranged a significant discount on these drugs. They cost more than generics, but less than nonpreferred brand-name drugs.

What is a preferred name drug?

Preferred Brand-Name Drugs These are drugs for which generic equivalents are not available. They have been in the market for a time and are widely accepted.

What does it mean if a drug is not preferred?

What is the difference between a preferred drug and a non-preferred drug? Often two brand name drugs help treat the same problem, but one has been shown to be more cost- or medically effective than the other. That more effective drug becomes a preferred drug and the other becomes a non-preferred drug.

What is a preferred brand drug?

What are preferred and non-preferred drugs? Often two brand-name drugs are useful for the same problem. Your insurance company may be able to get one less expensively than the other. That drug becomes a preferred drug, and the other becomes non-preferred. That's usually why you pay more for non-preferred drugs.

What are the preferred drug tiers?

Tier 1: Least expensive drug options, often generic drugs. Tier 2: Higher-price generic and lower-price brand-name drugs. Tier 3: Mainly higher-price brand-name drugs. Tier 4: Highest-cost prescription drugs.

For pdfFiller’s FAQs

What is Preferred Drug List?

A Preferred Drug List (PDL) is a list of medications that a health plan or pharmacy benefit manager recommends as the most cost-effective treatment options for various medical conditions.

Who is required to file Preferred Drug List?

Pharmacy benefit managers, health insurance companies, and state Medicaid programs are typically required to file and maintain a Preferred Drug List.

How to fill out Preferred Drug List?

To fill out a Preferred Drug List, organizations need to evaluate clinical efficacy, cost-effectiveness, and safety of medications, and then select preferred drugs to be included based on these evaluations.

What is the purpose of Preferred Drug List?

The purpose of a Preferred Drug List is to manage pharmacy costs, improve medication accessibility, promote the use of clinically effective medications, and ensure quality patient care.

What information must be reported on Preferred Drug List?

Information that must be reported on a Preferred Drug List includes the medication names, classifications, pricing, criteria for use, and any restrictions or prior authorization requirements.