Blue Cross Blue Shield of Michigan members. Use the form that matches the Rx group number on your card to request reimbursement for a prescription drug you paid for. 

• Rx group number BCBSMAN reimbursement form 
• Rx group number BCBSMRX1 reimbursement form

Were you traveling in a foreign country and had to fill and pay for a prescription there? Use this form to ask for reimbursement.

• Prescription drug foreign claim reimbursement form

Blue Care Network members

• Blue Care Network members prescription drug claim form

Members with Master Medical. This article will help you through the process of submitting a claim for a prescription drug you paid for. "How to submit a Master Medical claim."