CommercialCoverageMedium impact
Formulary updates – October 1, 2022
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Oct 1, 2022
We identified it
Jun 19, 2026
Summary
BCBSRI updated their formulary (covered drug list) effective October 1, 2022, affecting all commercial plans including large group, small group, and exchange markets. The changes do not apply to BlueCHiP Medicare plans and were made following clinical review by the Pharmacy and Therapeutics Committee.
Action Required
By October 1, 2022: Billing and clinical teams must review the updated BCBSRI formulary at the provided links to identify changes in covered medications. Update prescribing protocols and patient education materials to reflect new formulary restrictions. Verify medication coverage before prescribing to avoid prior authorization delays or patient coverage issues.