Print

Medicaid

This information applies to Medicaid members who have Blue Cross Community Health PlansSM (BCCHP) and Blue Cross Community MMAI (Medicare-Medicaid Plan)SM prescription drug benefits. Prime Therapeutics is the Pharmacy Benefit Manager (PBM) that provides drug benefits through Blue Cross and Blue Shield of Illinois (BCBSIL). 

Drug Lists

Drug List - Blue Cross Community Health PlansSM (BCCHP)

Drug List - Blue Cross Community MMAI (Medicare-Medicaid Plan)SM 

Pharmacy Directory

Pharmacy Directory - BCCHP 

Pharmacy Directory - MMAI 

Forms

Mail Service New Prescription Fax Order Form

Specialty Pharmacy Fax Order Form

BCCHP Forms on MyPrime 

MMAI Forms on MyPrime 

Prior Authorization

Providers can access, complete, and submit prior authorization and step therapy request forms electronically from the CoverMyMeds login page.

Prescription Exception Requests

Providers may submit coverage exception requests by fax, phone or electronically: 

For BCCHP plans, fax 877-480-8130, call 866-202-3474 (TTY/TDD 711) or submit electronically on MyPrime   or CoverMyMeds login page.

For MMAI plans, fax 800-693-6703, call 877-723-7702 (TTY/TDD 711) or submit electronically on MyPrime  or CoverMyMeds login page.

The drug list and pharmacy network may change at any time.

Blue Cross Community Health Plans and Blue Cross Community MMAI plans are provided by Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association.