CommercialCoverageMedium impact
Formulary updates – April 1, 2024
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Apr 1, 2024
We identified it
Jun 19, 2026
Summary
BCBSRI updated their formulary (covered drug lists) effective April 1, 2024, affecting both commercial plans and individual market plans. This impacts prescription coverage and may affect which medications require prior authorization or step therapy for patients.
Action Required
Immediately: Billing team and providers should verify current formulary status for all BCBSRI patients' medications before prescribing. Check BCBSRI provider portal for specific drug coverage changes and prior authorization requirements. Update any internal formulary reference materials to reflect April 1, 2024 changes.