HMO Drug Lists for Group Members

Who is this for?

Michigan Health Insurance – Customer Service – Pharmacy

If you have a HMO health plan that includes prescription drug coverage through an employer, you can use these drug lists to see if your plan covers a medication.

Are you insured through an employer with more than 50 full-time employees and have an HMO plan from Blue Care Network? You can use these drug lists to see if your medication is covered. Not sure which list to use? Check your plan's prescription drug benefits or call the customer service number on the back of your Blues ID card and we'll help.

Custom drug lists

Custom Drug List (PDF)
Blue Care Network’s most comprehensive drug list.

Custom Drug List Quick Guide (PDF)
Blue Care Network’s list of the most commonly prescribed drugs.

Custom Prior Authorization and Step Therapy Guidelines (PDF)
A list of prescription drugs that require prior authorization or step therapy.

Preferred Alternatives (PDF)
If a drug you've been prescribed isn't in our drug list, your doctor can use this list to find an alternative.

Custom Select drug lists

Custom Select Drug List (PDF)
The Custom Select Drug List is based on our Custom Drug List, but provides lower cost and better value.

Custom Select Quick Guide (PDF)
This Custom Select Drug List is a guide to the most commonly used drugs available.

Custom Select Prior Authorization and Step Therapy Guidelines (PDF)
These guidelines help ensure that your doctor prescribes safe, high-quality cost-effective drugs.

Other helpful drug lists

Custom and Custom Select Drug List Update (PDF)
The latest additions and changes to the Blue Care Network Custom Drug List.

Preventive Drug Coverage (PDF)
A list of preventive drugs that are covered with $0 copay.

Specialty Drug Program Member Guide (PDF)
Explains specialty drugs and where and how to order them.

15-Day Specialty Drug Limitation Program (PDF)
A list of potent specialty drugs that have a 15-day supply limit.

Quantity Limits (PDF)
A list of drugs that have limits on how much medication you can get with one prescription.

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