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Check these documents and your Summary Plan Description (SPD) to see if your prescription drugs are covered. The formulary list consists of most preferred generic and many brand-name medications. Choosing drugs from this list may save you money.
If you don't see your medication on the list, check with your doctor for a generic or lower-cost option on the formulary that may work just as well and save you money.
Note that some drug classes (for example, Proton Pump Inhibitors) are excluded by some plans and therefore may not be covered under your pharmacy benefit. Your plan may have a different coverage level for specialty drugs. If you have questions about your coverage for specialty medications or your prescription drug benefit, call 1-800-203-3765 to talk to a Customer Advocate.
To use your prescription drug benefits:
Log in to Blue Access for MembersSM to find the forms that specifically apply to your coverage.
You can find out how much your prescription drugs cost and learn how to keep costs down at MyPrime.
Blue Cross and Blue Shield of Illinois (BCBSIL) offers certain blood glucose meters to members with diabetes at no additional charge.
Certain medications have special rules for coverage which may include: