MedicarePartD.guide

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2026 Blue Shield Rx Plus (PDP) formulary (drug list)

Contract S2468, plan 003 · California · 3,000 drugs on file · formulary ID 00026290. Each drug links to its cost in every CMS PDP Region 32 plan.

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150 drugs starting with E.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
EDURANT 25 mg Tablet, Film CoatedRilpivirine Hydrochloride5Specialty Tier25%N/A
  • QL 2 per 1 days
EDURANT PED 2.5 mg Tablet, For SuspensionRilpivirine Hydrochloride5Specialty Tier25%N/A
  • QL 6 per 1 days
EFAVIRENZ 600 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
EFAVIRENZ, EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 600/200/300 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
EFAVIRENZ, LAMIVUDINE AND TENOFOVIR DISOPROXIL FUMARATE 400/300/300 mg Tablet, Film Coated5Specialty Tier25%N/A
  • QL 1 per 1 days
EFAVIRENZ, LAMIVUDINE AND TENOFOVIR DISOPROXIL FUMARATE 600/300/300 mg Tablet, Film Coated5Specialty Tier25%N/A
  • QL 1 per 1 days
ELIQUIS 2.5 mg Tablet, Film CoatedApixaban3Preferred Brand19%19%
  • QL 2 per 1 days
ELIQUIS 30-DAY STARTER PACK KitApixaban3Preferred Brand19%19%
  • QL 74 per 180 days
ELIQUIS 5 mg Tablet, Film CoatedApixaban3Preferred Brand19%19%
  • QL 2 per 1 days
ELTROMBOPAG 12.5 mg Powder, For SuspensionEltrombopag Olamine5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
ELTROMBOPAG 12.5 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
ELTROMBOPAG 25 mg Powder, For SuspensionEltrombopag Olamine5Specialty Tier25%N/A
  • PA
  • QL 6 per 1 days
ELTROMBOPAG 25 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 3 per 1 days
ELTROMBOPAG 50 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 3 per 1 days
ELTROMBOPAG 75 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 2 per 1 days
ELURYNG .12/.015 mg/d RingEtonogestrel And Ethinyl Estradiol3Preferred Brand19%19%None
EMGALITY 100 mg/mL Injection, SolutionGalcanezumab-Gnlm3Preferred Brand19%19%
  • PA
  • QL 3 per 30 days
EMGALITY 120 mg/mL Injection, SolutionGalcanezumab-Gnlm3Preferred Brand19%19%
  • PA
  • QL 2 per 30 days
EMGALITY 120 mg/mL Injection, SolutionGalcanezumab-Gnlm3Preferred Brand19%19%
  • PA
  • QL 2 per 30 days
EMSAM 12 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • PA
EMSAM 6 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • PA
EMSAM 9 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • PA
EMTRICITABINE 200 mg Capsule4Non-Preferred Drug49%49%
  • QL 1 per 1 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 100/150 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 133/200 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 167/250 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 200/300 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
EMTRICITABINE, RILPIVIRINE, TENOFOVIR DISOPROXIL FUMARATE 200/25/300 mg Tablet, Film Coated5Specialty Tier25%N/A
  • QL 1 per 1 days
EMTRIVA 10 mg/mL SolutionEmtricitabine4Non-Preferred Drug49%49%
  • QL 24 per 1 days
ENALAPRIL MALEATE 10 mg Tablet2Generic$7.00$17.50None
ENALAPRIL MALEATE 2.5 mg Tablet2Generic$7.00$17.50None
ENALAPRIL MALEATE 20 mg Tablet2Generic$7.00$17.50None
ENALAPRIL MALEATE 5 mg Tablet2Generic$7.00$17.50None
ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE 10/25 mg Tablet1Preferred Generic$0.00$0.00None
ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE 5/12.5 mg Tablet1Preferred Generic$0.00$0.00None
ENBREL 25 mg/.5mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 4.08 per 28 days
ENBREL 25 mg/.5mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 4 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENGERIX-B 10 ug/.5mL Injection, SuspensionHepatitis B Vaccine (Recombinant)3Preferred Brand19%19%
  • PA
ENGERIX-B 20 ug/mL Injection, SuspensionHepatitis B Vaccine (Recombinant)3Preferred Brand19%19%
  • PA
ENILLORING .015/.12 mg/d RingEtonogestrel And Ethinyl Estradiol Vaginal3Preferred Brand19%19%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug49%49%
  • QL 18 per 30 days
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug49%49%
  • QL 36 per 30 days
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug49%49%
  • QL 48 per 30 days
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug49%49%
  • QL 6 per 30 days
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug49%49%
  • QL 24 per 30 days
ENOXAPARIN SODIUM 150 mg/mL Injection4Non-Preferred Drug49%49%
  • QL 48 per 30 days
ENOXAPARIN SODIUM 150 mg/mL Injection4Non-Preferred Drug49%49%
  • QL 6 per 30 days
ENSACOVE 100 mg CapsuleEnsartinib5Specialty Tier25%N/A
  • PA
  • QL 2 per 1 days
ENSACOVE 25 mg CapsuleEnsartinib5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
ENSKYCE KitDesogestrel And Ethinyl Estradiol4Non-Preferred Drug49%49%None
ENTACAPONE 200 mg Tablet4Non-Preferred Drug49%49%
  • QL 8 per 1 days
ENTECAVIR .5 mg Tablet4Non-Preferred Drug49%49%
  • QL 1 per 1 days
ENTECAVIR 1 mg Tablet4Non-Preferred Drug49%49%
  • QL 1 per 1 days
ENTRESTO 15/16 mg PelletSacubitril And Valsartan3Preferred Brand19%19%
  • QL 8 per 1 days
ENTRESTO 6/6 mg PelletSacubitril And Valsartan3Preferred Brand19%19%
  • QL 8 per 1 days
ENULOSE 10 g/15mL SolutionLactulose2Generic$7.00$17.50None
ENVARSUS XR .75 mg Tablet, Extended ReleaseTacrolimus4Non-Preferred Drug49%49%
  • PA
ENVARSUS XR 1 mg Tablet, Extended ReleaseTacrolimus4Non-Preferred Drug49%49%
  • PA
ENVARSUS XR 4 mg Tablet, Extended ReleaseTacrolimus4Non-Preferred Drug49%49%
  • PA
EPIDIOLEX 100 mg/mL SolutionCannabidiol5Specialty Tier25%N/A
  • PA
EPINEPHRINE .15 mg/.15mL Injection3Preferred Brand19%19%
  • QL 24 per 365 days
EPINEPHRINE .15 mg/.3mL Injection3Preferred Brand19%19%
  • QL 24 per 365 days
EPINEPHRINE .3 mg/.3mL Injection3Preferred Brand19%19%
  • QL 24 per 365 days
EPINEPHRINE .3 mg/.3mL Injection3Preferred Brand19%19%
  • QL 24 per 365 days
ERGOTAMINE TARTRATE AND CAFFEINE 1/100 mg Tablet, Film Coated3Preferred Brand19%19%
  • QL 4 per 28 days
ERIVEDGE 150 mg CapsuleVismodegib5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
ERLEADA 240 mg Tablet, Film CoatedApalutamide5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
ERLEADA 60 mg Tablet, Film CoatedApalutamide5Specialty Tier25%N/A
  • PA
  • QL 4 per 1 days
ERLOTINIB 100 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
ERLOTINIB 150 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
ERLOTINIB 25 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 1 days
ERTAPENEM 1 g/20mL InjectionErtapenem Sodium3Preferred Brand19%19%None
ERYTHROCIN LACTOBIONATE 500 mg/10mL Injection, Powder, Lyophilized, For SolutionErythromycin Lactobionate4Non-Preferred Drug49%49%None
ERYTHROMYCIN 20 mg/g Gel4Non-Preferred Drug49%49%None
ERYTHROMYCIN 20 mg/mL Solution2Generic$7.00$17.50None
ERYTHROMYCIN 250 mg Tablet, Coated4Non-Preferred Drug49%49%None
ERYTHROMYCIN 5 mg/g Ointment2Generic$7.00$17.50None
ERYTHROMYCIN 500 mg Tablet, Coated4Non-Preferred Drug49%49%None
ERZOFRI EXTENDED-RELEASE 117 mg/.75mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • PA
  • QL 0.75 per 28 days
ERZOFRI EXTENDED-RELEASE 156 mg/mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • PA
  • QL 1 per 28 days
ERZOFRI EXTENDED-RELEASE 234 mg/1.5mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • PA
  • QL 1.5 per 28 days
ERZOFRI EXTENDED-RELEASE 351 mg/2.25mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • PA
  • QL 4.5 per 365 days
ERZOFRI EXTENDED-RELEASE 39 mg/.25mL InjectionPaliperidone Palmitate4Non-Preferred Drug49%49%
  • PA
  • QL 0.25 per 28 days
ERZOFRI EXTENDED-RELEASE 78 mg/.5mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • PA
  • QL 0.5 per 28 days
ESCITALOPRAM 10 mg Tablet, Film Coated2Generic$7.00$17.50None
ESCITALOPRAM 20 mg Tablet, Film Coated2Generic$7.00$17.50None
ESCITALOPRAM 5 mg Tablet, Film Coated2Generic$7.00$17.50None
ESCITALOPRAM OXALATE 5 mg/5mL SolutionEscitalopram4Non-Preferred Drug49%49%None
ESLICARBAZEPINE ACETATE 200 mg Tablet4Non-Preferred Drug49%49%
  • QL 1 per 1 days
ESLICARBAZEPINE ACETATE 400 mg Tablet4Non-Preferred Drug49%49%
  • QL 1 per 1 days
ESLICARBAZEPINE ACETATE 600 mg Tablet4Non-Preferred Drug49%49%
  • QL 2 per 1 days
ESLICARBAZEPINE ACETATE 800 mg Tablet4Non-Preferred Drug49%49%
  • QL 2 per 1 days
ESTARYLLA KitNorgestimate And Ethinyl Estradiol4Non-Preferred Drug49%49%None
ESTRADIOL .025 mg/d Patch4Non-Preferred Drug49%49%
  • QL 8 per 28 days
ESTRADIOL .025 mg/d Patch4Non-Preferred Drug49%49%
  • QL 16 per 28 days
ESTRADIOL .0375 mg/d Patch4Non-Preferred Drug49%49%
  • QL 8 per 28 days
ESTRADIOL .0375 mg/d Patch4Non-Preferred Drug49%49%
  • QL 16 per 28 days
ESTRADIOL .05 mg/d Patch4Non-Preferred Drug49%49%
  • QL 8 per 28 days
ESTRADIOL .05 mg/d Patch4Non-Preferred Drug49%49%
  • QL 16 per 28 days
ESTRADIOL .06 mg/d Patch4Non-Preferred Drug49%49%
  • QL 8 per 28 days
ESTRADIOL .075 mg/d Patch4Non-Preferred Drug49%49%
  • QL 8 per 28 days
ESTRADIOL .075 mg/d Patch4Non-Preferred Drug49%49%
  • QL 16 per 28 days
ESTRADIOL .1 mg/d Patch4Non-Preferred Drug49%49%
  • QL 8 per 28 days
ESTRADIOL .1 mg/d Patch4Non-Preferred Drug49%49%
  • QL 16 per 28 days
ESTRADIOL .5 mg Tablet2Generic$7.00$17.50None
ESTRADIOL 1 mg Tablet2Generic$7.00$17.50None
ESTRADIOL 10 ug Insert4Non-Preferred Drug49%49%None
ESTRADIOL 2 mg Tablet2Generic$7.00$17.50None
ESTRADIOL VAGINAL .1 mg/g CreamEstradiol4Non-Preferred Drug49%49%None
ESTRING 2 mg SystemEstradiol4Non-Preferred Drug49%49%
  • QL 1 per 84 days
ESZOPICLONE 1 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
ESZOPICLONE 2 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
ESZOPICLONE 3 mg Tablet, Film Coated4Non-Preferred Drug49%49%
  • QL 1 per 1 days
ETHAMBUTOL HYDROCHLORIDE 100 mg Tablet2Generic$7.00$17.50None
ETHAMBUTOL HYDROCHLORIDE 400 mg Tablet2Generic$7.00$17.50None
ETHOSUXIMIDE 250 mg/5mL Solution2Generic$7.00$17.50None
ETODOLAC 400 mg Tablet, Extended Release4Non-Preferred Drug49%49%None
ETODOLAC 500 mg Tablet, Extended Release4Non-Preferred Drug49%49%None
ETODOLAC 600 mg Tablet, Film Coated, Extended Release4Non-Preferred Drug49%49%None
ETONOGESTREL/ETHINYL ESTRADIOL .12/.015 mg/d Insert, Extended ReleaseEtonogestrel And Ethinyl Estradiol3Preferred Brand19%19%None
ETRAVIRINE 100 mg Tablet5Specialty Tier25%N/A
  • QL 4 per 1 days
ETRAVIRINE 200 mg Tablet5Specialty Tier25%N/A
  • QL 2 per 1 days
EUCRISA 20 mg/g OintmentCrisaborole4Non-Preferred Drug49%49%
  • PA
  • QL 1 per 30 days
EULEXIN 125 mg CapsuleFlutamide3Preferred Brand19%19%None
EVEROLIMUS .25 mg Tablet4Non-Preferred Drug49%49%
  • PA
EVEROLIMUS .5 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS .75 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS 1 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS 10 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 2 per 1 days
EVEROLIMUS 2 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
EVEROLIMUS 2.5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
EVEROLIMUS 3 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
EVEROLIMUS 5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
EVEROLIMUS 5 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
EVEROLIMUS 7.5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 2 per 1 days
EVOTAZ 300/150 mg TabletAtazanavir And Cobicistat5Specialty Tier25%N/A
  • QL 1 per 1 days
EXEMESTANE 25 mg Tablet4Non-Preferred Drug49%49%None
EXXUA 18.2 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
EXXUA 18.2 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 64 per 365 days
EXXUA 36.3 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
EXXUA 54.5 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
EXXUA 72.6 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 1 per 1 days
EZETIMIBE 10 mg Tablet3Preferred Brand19%19%None
EZETIMIBE AND SIMVASTATIN 10/10 mg Tablet4Non-Preferred Drug49%49%None
EZETIMIBE AND SIMVASTATIN 10/20 mg Tablet4Non-Preferred Drug49%49%None
EZETIMIBE AND SIMVASTATIN 10/40 mg Tablet4Non-Preferred Drug49%49%None
EZETIMIBE AND SIMVASTATIN 10/80 mg Tablet4Non-Preferred Drug49%49%None

PA = prior authorization, ST = step therapy, QL = quantity limit. Costs are the plan’s initial-coverage cost-sharing from the CMS 2026 formulary files; a drug not listed here is not on this plan’s formulary, though a formulary exception may still be possible.