How to Verify your Prescriptions with Horizon BCBS of NJ
Effective July 1, 2025, Fair Lawn Board of Education will be directly contracted with Horizon Blue Cross Blue Shield of New Jersey for Medical and Prescription benefits. Horizon utilizes Prime Therapeutics as their Pharmacy Benefit Manager (PBM). To verify coverage for your current medications, please follow the steps below on the Prime Therapeutics website.
1. Visit www.myprime.com/en/medicines.html#find-medicine
2. You will then need to select your drug list and select Apply.
If you are in.... | Formulary |
Direct 10 or Direct 15 |
Classic Formulary |
NJ Educators or Garden State Health Plan |
NetResults Enhanced Formulary |
3. Step 2 will prompt you to type in the name of your medication. You can also search for medicine based off the National Drug Code (NDC).
*Please be sure to select the right dosage when searching for your medication
4. Once the name and dosage of your medication has been selected, you will be able to see the Tier (Generic, Preferred Brand, or Non-Preferred Brand) and if the medication is on the formulary of your selected plan.
If you are unable to locate your preferred medication, please click on the Therapeutic Alternatives to find a list of similar drugs that will be covered under the plan. Should you still have an issue, please reach out the the Gallgaher Serice Team for additional assistance.