Pharmacy
Use our tool to find a pharmacy in our comprehensive network. A list of formularies is also available to find out if your prescription drugs are covered. See the details below.

Find a Pharmacy
Effective 9/1/2014, Highmark Blue Cross Blue Shield of Western New York now has one enhanced pharmacy network where A and B networks have been combined.
Retiree Pharmacy PDP members, please see the PDP section below.
2022 Provider & Pharmacy Directory
- 2022 Provider & Pharmacy HMO/PPO Directory - Tiered Pharmacy Network
This directory provides a list of Senior Blue 601 (HMO), Senior Blue 651 (HMO), Senior Blue Select (HMO), BlueSaver (HMO), Senior Blue Basic (HMO), Senior Blue 699 (HMO), Freedom Nation (PPO), Forever Blue Value (PPO), Forever Blue 751 (PPO), Forever Blue 799 Value (PPO), and Forever Blue 799 (PPO) plan's current network of providers and pharmacies.
Last updated October 1, 2021
- 2022 Provider & Pharmacy HMO/PPO Directory - Non-Tiered Pharmacy Network
This directory provides a list of Senior Blue 699 (HMO), Forever Blue 799 Value (PPO), and Forever Blue 799 (PPO) Plan plan's current network of providers and pharmacies.
Last updated October 1, 2021
- 2022 Provider & Pharmacy HMO/PPO Contiguous Directory - Bordering Counties - Tiered Pharmacy Network*
This directory lists providers or pharmacies located in neighboring counties outside of our primary service area. This directory provides a list of Senior Blue 601 (HMO), Senior Blue 651 (HMO), Senior Blue Select (HMO), BlueSaver (HMO), Senior Blue Basic (HMO), Senior Blue 699 (HMO), Freedom Nation (PPO), Forever Blue Value (PPO), Forever Blue 751 (PPO), Forever Blue 799 Value (PPO), and Forever Blue 799 (PPO) Plan Plan current network of providers and pharmacies for the specific counties mentioned below.
Last updated October 1, 2021
*The Contiguous Directory is for these bordering counties: Pennsylvania State: Erie, McKean, Potter, Tioga & Warren. New York State: Livingston, Monroe, Steuben, and Wayne.
If you would like a copy of the provider directory mailed to you, please call customer service at 1-800-329-2792, TTY 711. We are available Oct. 1 - Mar. 31, 8 a.m. to 8 p.m., 7 days a week; Apr. 1 - Sept. 30, 8 a.m. to 8 p.m., Mon. - Fri.
Find a Prescription Drug
Find a Prescription Drug: Members (Excluding Medicare Advantage Members)
Choose the Formulary that best describes your membership.
- Formulary 1: ASO/self-funded (>101 employees)
- Updates to Formulary 1
- Formulary 2: Child Health Plus, commercial and large group insured (>101 employees)
- Updates to Formulary 2
- Formulary 3: Small group (1-100 employees) and individual product exchange business
- Updates to Formulary 3/Exclusive
- Formulary 4/Aon
- Updates to Formulary 4/Aon
- Express Scripts® Basic Formulary 2022
- Express Scripts National Preferred Formulary with Exclusions 2022
- 2022 National Preferred Formulary Exclusions with July 1, 2022 Updates
- Prior Approval Non-Formulary Request Form
If you have any questions regarding your formulary, please call the number on the back of your member ID card for assistance.
Most drug plans cover up to a 30 or 34-day supply of medications at a retail pharmacy; however, some plans may allow certain medications to be dispensed for up to a 90-day supply at a retail pharmacy. If you would like to know if your drug plan covers up to a 90-day supply of your medication through a retail pharmacy, please contact the number on the back of your ID card to speak with a pharmacy member service representative.
Medicare Advantage members, please see section below.
Find a Prescription Drug: Medicare Advantage
To view our Medicare Prescription Drug Part D information, please visit our Medicare Resource Center.
If you have any questions regarding your formulary, please call the number on the back of your member ID card for assistance.
Find a Prescription Drug: Medicaid
Consider High-Risk Medication Alternatives
The Pharmacy Quality Alliance has determined that these high risk medications have the highest risk of side effects for elderly patients.
2022 Retiree Pharmacy PDP Drug
- 2022 Retiree Pharmacy PDP Drug Formulary
Last Updated June 1, 2022
- 2022 Retiree Pharmacy PDP Step Therapy Requirements
Last Updated June 1, 2022
- 2022 Retiree Pharmacy PDP Prior Authorization Requirements
Last Updated June 1, 2022
2022 Medicare Advantage Part D Employer Group
- 2022 Medicare Advantage Part D Employer Group Formulary
Last Updated June 1, 2022
- 2022 Medicare Advantage Part D Employer Group Step Therapy Requirements
Last Updated June 1, 2022
- 2022 Medicare Advantage Part D Employer Group Prior Authorization Requirements
Last Updated June 1, 2022
2022 Employer Group PDP
To view your specific prescription drug information such as Formulary, Prior Authorization, and Step Therapy please view the link below
2022 Medicare Advantage Part D Employer Group DIrectories
- 2022 Retiree Pharmacy & Employer Group PDP Pharmacy Directory - Non-Tiered Pharmacy Network
This booklet provides a list of Retiree Pharmacy PDP and Employer Group PDP’s network
Last updated October 1, 2021
- 2022 Retiree Pharmacy & Employer Group PDP Pharmacy Directory - Tiered Pharmacy Network
This booklet provides a list of Retiree Pharmacy PDP and Employer Group PDP’s network
Last updated October 1, 2021
2021 Retiree Pharmacy & Employer Group PDP
2021 Retiree Pharmacy & Employer Group PDP
- 2021 Retiree Pharmacy PDP Drug Formulary
Last updated December 1, 2021
- 2021 Retiree Pharmacy PDP Step Therapy Requirements
Last updated December 1, 2021
- 2021 Retiree Pharmacy PDP Prior Authorization Requirements
Last updated December 1, 2021
2021 Retiree Pharmacy PDP Drug
- 2021 Retiree Pharmacy & Employer Group PDP Pharmacy Directory - Tiered Pharmacy Network
This booklet provides a list of Retiree Pharmacy PDP and Employer Group PDP’s network
Last updated October 1, 2021
- 2021 Retiree Pharmacy & Employer Group PDP Pharmacy Directory- Non-Tiered Pharmacy Network
This booklet provides a list of Retiree Pharmacy PDP and Employer Group PDP’s network
Last updated October 1, 2021
2021 Employer Group PDP
To view your specific prescription drug information such as Formulary, Prior Authorization, and Step Therapy please view the link below
Frequently Used Tools
*If you would like a copy of the provider directory mailed to you, please call customer service at 1-800-329-2792, TTY 711. We are available Oct. 1 - Mar. 31, 8 a.m. to 8 p.m., 7 days a week; Apr. 1 - Sept. 30, 8 a.m. to 8 p.m., Mon. - Fri.
Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) is a trade name of Highmark Western and Northeastern New York Inc., an independent licensee of the Blue Cross Blue Shield Association. Highmark BCBSWNY is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. Highmark BCBSWNY complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-735-4515 (TTY 711). 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY 711).
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Content last updated: June 1, 2022