CommercialCoverageMedium impact
Upcoming CareFirst Formulary Updates Effective July 1, 2024
CareFirst BlueCross BlueShield·Pharmacy
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield is implementing quarterly formulary updates effective July 1, 2024, which may include drug additions, utilization management changes, tier changes, and medication removals. This affects patients with CareFirst prescription benefits and requires providers to review the updated formulary for prescription practices.
Action Required
By July 1, 2024: Clinical staff and providers must review the CareFirst formulary summary of changes to understand new drug additions, tier changes, utilization management requirements, and medication removals. Update prescribing practices and patient medication lists accordingly. Access the full summary at the CareFirst provider portal to ensure prescribed medications remain covered under patient benefits.