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Drug Information

Prescription drug coverage is built into Blue Cross Medicare AdvantageSM. The drug list, also called a formulary, includes both brand name and generic drugs. It will also tell you:

  • About your drug's co-payment
  • Whether limitations to coverage exist like:
    • Prior authorization
    • Quantity limits
    • Step therapy

Generic drugs:

You may save money by switching from brand drugs to generic drugs. These drugs:

  • Have the same active ingredient formula as brand name drugs
  • Usually cost less than brand name drugs
  • Are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs

Keep in mind, to receive your full pharmacy benefits, you should use:

  • Blue Cross Medicare Advantage network pharmacies, including our home delivery pharmacy service, PrimeMail by Walgreens Mail Service (except in an emergency). Using an out-of-network pharmacy may result in less than full reimbursement for out-of-pocket costs.
  • A preferred pharmacy which may result in lower member out-of-pocket cost.

Also, when using PrimeMail by Walgreens Mail Service, preferred network pharmacies, or select network pharmacies, you may have the ability to:

  • Purchase a 90-day supply of a prescription drug

2017 Formulary List of Covered Drugs

Search for your prescriptions External Link Icon

Document Plan Downloadable Materials
2017 Drug Formulary Basic HMO
2017 Drug Formulary HMO-POS/PPO

If you need assistance with additional plan documents please call customer service at 1-877-774-8592 TTY/TDD: 711

Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Prime Therapeutics LLC, a separate company, provides pharmacy benefit management services for Blue Cross and Blue Shield of Illinois.

Prime Therapeutics has contracted with Walgreens, a company independent from Prime Therapeutics and Blue Cross and Blue Shield of Illinois, to provide mail pharmacy services through the PrimeMail by Walgreens Mail Service.