As a Blue Cross Community Health PlansSM member, you have coverage for selected generic prescriptions, brand name prescriptions, over-the-counter (OTC) drugs, and selected medical supplies. This plan uses a Preferred Drug List (PDL). The PDL is a list showing the drugs that can be covered by the plan.
As a member, you pay nothing ($0) for the items on the PDL. Those items will be covered as long as you:
- have a medical need for them
- have a prescription from your doctor for them
- fill the prescription at a network pharmacy
- follow the plan rules
Certain drugs on the list need prior authorization. Your doctor will need to request approval before these drugs can be prescribed. Without approval, the drugs are not covered. You can find out if your drug has any added conditions or limits by looking at the PDL.
As a Blue Cross Community Health Plans member, you have access to a wide network of pharmacies in Illinois. You must get your medication at a network pharmacy, and you will receive up to a 30-day supply.