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Blue Care Network / HMO Drug Lists

Who is this for?

Michigan Health Insurance – Customer Service – Pharmacy

If you need to know whether Blue Care Network covers your medication, check these 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 Formulary Update (PDF)
The latest additions and changes to the Blue Care Network Custom Formulary.

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

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

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

3-Tier Plus Specialty Drug Guide (PDF)
Explains this plan's additional copayment levels for specialty drugs.

Limited Prescription Coverage for Female Contraceptives (PDF)
Blue Care Network’s guide for contraceptive coverage for members with no other drug coverage.

Savings Plus Quick Guide for Members (PDF)
Blue Care Network’s list of the most commonly prescribed drugs for members with the Saving Plus prescription plan.

Blue Essentials Formulary Quick Guide for Members (PDF) 
Blue Care Network’s list of the most commonly prescribed drugs for members with the Blue Essentials prescription plan.

Blue Essentials Value Tier Drug List (PDF)
A list of drugs with no copay for members who have Blue Essentials prescription drug coverage.

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

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.

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