CommercialCoverageMedium impact
Formulary updates – October 1, 2025
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
BCBSRI has updated their formulary (covered drug list) effective October 1, 2025 for both commercial employer groups and individual market plans using the Net Results formulary. This affects which medications are covered and may impact prior authorization requirements for prescriptions.
Action Required
By October 1, 2025: Billing team should verify updated formulary coverage for patient prescriptions and inform providers of any changes to covered medications. Check BCBSRI provider portal for specific formulary changes that may affect prior authorization requirements for prescriptions.