Prescription Drug Mail Order Form BCBSMAN
Who is this for?
If you have prescription drug coverage through Blue Cross Blue Shield of Michigan and your ID card has the Medco logo on it and the Rx group number is BCBSMAN, use this form to order your medications through the mail from Express Scripts®.
Access the form here: Rx group number BCBSMAN prescription drug mail order form (PDF)
What you’ll need
- Enrollee ID card
- A prescription from your doctor
- A printer to print the form
- An envelope and postage to mail the form
If you have any questions, please contact us.