Drug Lists for Medicare Plans

A drug list, also called a formulary, is a list of prescription drugs your health plan covers. Here you can find the drug lists related to your Blue Cross Blue Shield of Michigan Medicare prescription drug coverage. Simply choose your plan type to get started.

Medicare Plus Blue PPO

For individuals with Essential, Vitality, Signature, Assure, + Meijer and Part B Credit plans

PDF

2024 Medicare Plus Blue PPO Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 individual Medicare Plus Blue PPO plans.

PDF

2024 Medicare Plus Blue PPO Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 individual Medicare Plus Blue PPO plans.

PDF

2024 Medicare Plus Blue PPO Essential, Vitality, Signature and Assure Plus Comprehensive Formulary Updates

This is a list of changes made to the Medicare Plus Blue PPO Essential, Vitality, Signature and Assure Plus Comprehensive Formulary since its initial release in October 2023

PDF

2024 Medicare Plus Blue + Meijer PPO and Part B Credit PPO Healthy Value Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 individual Medicare Plus Blue + Meijer PPO and Medicare Plus Blue Part B Credit PPO plans.

PDF

2024 Medicare Plus Blue + Meijer PPO and Part B Credit PPO Healthy Value Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 individual Medicare Plus Blue + Meijer PPO and Medicare Plus Blue Part B Credit PPO plans.

PDF

2024 Medicare Plus Blue PPO and BCN Advantage HMO Medical Drug Prior Authorization and Step Therapy Program

This document lists which medical coverage drugs require prior authorization or step therapy for 2024 individual and group Medicare Plus Blue PPO and BCN Advantage HMO plans.

PDF

2024 Medicare Plus Blue PPO Healthy Value Formulary Updates

This is a list of changes made to the Medicare Plus Blue PPO Healthy Value Formulary since its initial release in October 2023

BCN Advantage Local HMO and HMO-POS Community Value

For individuals with a Local HMO or HMO-POS Community Value plan

PDF

2024 BCN Advantage Local HMO and HMO-POS Community Value Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 individual BCN Advantage Local HMO and HMO-POS Community Value plans.

PDF

2024 BCN Advantage Local HMO and HMO-POS Community Value Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 individual BCN Advantage Local HMO and HMO-POS Community Value plans.

PDF

2024 Medicare Plus Blue PPO and BCN Advantage HMO Medical Drug Prior Authorization and Step Therapy Program

This document lists which medical coverage drugs require prior authorization or step therapy for 2024 individual and group Medicare Plus Blue PPO and BCN Advantage HMO plans.

PDF

2024 BCN Advantage Healthy Value Formulary Updates

This is a list of changes made to the BCN Advantage Healthy Value Formulary since its initial release in October 2023

BCN Advantage HMO and HMO-POS plans

For individuals with HMO-POS Classic, Prestige and Prime Value as well as HMO ConnectedCare

PDF

2024 BCN Advantage HMO and HMO-POS Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 individual HMO-POS Classic, Prestige and Prime Value as well as HMO ConnectedCare plans.

PDF

2024 BCN Advantage HMO and HMO-POS Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 individual HMO-POS Classic, Prestige and Prime Value as well as HMO ConnectedCare plans.

PDF

2024 Medicare Plus Blue PPO and BCN Advantage HMO Medical Drug Prior Authorization and Step Therapy Program

This document lists which medical coverage drugs require prior authorization or step therapy for 2024 individual and group Medicare Plus Blue PPO and BCN Advantage HMO plans.

PDF

2024 BCN Advantage HMO and HMO-POS Formulary Updates

This is a list of changes made to the BCN Advantage Formulary since its initial release in October 2023

Prescription Blue PDP

For individuals with PDP Select or Premium plans

PDF

2024 Prescription Blue PDP Select Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 individual Prescription Blue PDP Select.

PDF

2024 Prescription Blue PDP Select Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 individual Prescription Blue PDP Select.

PDF

2024 Prescription Blue Select Comprehensive Formulary Updates

This is a list of changes made to the Prescription Blue Select Comprehensive formulary since its initial release in October 2023

PDF

2024 Prescription Blue PDP Premium Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 individual Prescription Blue PDP Premium.

PDF

2024 Prescription Blue PDP Premium Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 individual Prescription Blue PDP Premium.

PDF

2024 Prescription Blue Premium Comprehensive Formulary Updates

This is a list of changes made to the Prescription Blue Premium Comprehensive formulary since its initial release in October 2023

Group Medicare Plus Blue PPO

For members who have a Medicare plan from an employer

PDF

2024 Medicare Plus Blue PPO Group Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Medicare Plus Blue PPO comprehensive plans.

PDF

2024 Medicare Plus Blue PPO Group Enhanced Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Medicare Plus Blue PPO enhanced comprehensive plans.

PDF

2024 Medicare Plus Blue PPO Group Comprehensive and Enhanced Comprehensive Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 group Medicare Plus Blue PPO comprehensive and enhanced comprehensive plans.

PDF

2024 Medicare Plus Blue PPO Group Comprehensive and Enhanced Comprehensive Formulary Updates

This is a list of changes made to the Medicare Plus Blue Group PPO and Prescription Blue Group PDP Group Comprehensive and Group Enhanced Comprehensive formularies since their initial release in October 2023

PDF

2024 Medicare Plus Blue PPO Group Standard Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Medicare Plus Blue PPO standard comprehensive plans.

PDF

2024 Medicare Plus Blue PPO Group Standard Enhanced Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Medicare Plus Blue PPO standard enhanced comprehensive plans.

PDF

2024 Medicare Plus Blue PPO Group Standard Comprehensive and Standard Enhanced Comprehensive Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 group Medicare Plus Blue PPO standard comprehensive and standard enhanced comprehensive plans.

PDF

2024 Medicare Plus Blue PPO Group Standard Comprehensive and Standard Enhanced Comprehensive Formulary Updates

This is a list of changes made to the Medicare Plus Blue Group PPO and Prescription Blue Group PDP Standard and Standard Enhanced Comprehensive formularies since their initial release in October 2023

PDF

2024 Medicare Plus Blue PPO Group Plus Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Medicare Plus Blue PPO plus comprehensive plans.

PDF

2024 Medicare Plus Blue PPO Group Plus Comprehensive Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 group Medicare Plus Blue PPO plus comprehensive plans.

PDF

2024 Medicare Plus Blue PPO and BCN Advantage HMO Medical Drug Prior Authorization and Step Therapy Program

This document lists which medical coverage drugs require prior authorization or step therapy for 2024 individual and group Medicare Plus Blue PPO and BCN Advantage HMO plans.

PDF

2024 Medicare Plus Blue PPO Group Plus Comprehensive Formulary Updates

This is a list of changes made to the Medicare Plus Blue Group PPO Essential, Vitality, Signature and Assure, Medicare Plus Group PPO, and Prescription Blue Group PDP Plus Comprehensive formulary since its initial release in October 2023

Group BCN Advantage HMO and HMO-POS

For members who have a Medicare plan from an employer

PDF

2024 Group BCN Advantage Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group BCN Advantage plans.

PDF

2024 Group BCN Advantage Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 group BCN Advantage plans.

PDF

2024 Medicare Plus Blue PPO and BCN Advantage HMO Medical Drug Prior Authorization and Step Therapy Program

This document lists which medical coverage drugs require prior authorization or step therapy for 2024 individual and group Medicare Plus Blue PPO and BCN Advantage HMO plans.

PDF

2024 Group BCN Advantage Formulary Updates

This is a list of changes made to the BCN Advantage Group Formulary since its initial release in October 2023

Group Prescription Blue PDP

For members who have a Medicare plan from an employer

PDF

2024 Group Prescription Blue PDP Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Prescription Blue PDP comprehensive plans.

PDF

2024 Group Prescription Blue PDP Enhanced Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Prescription Blue PDP enhanced comprehensive plans.

PDF

2024 Group Prescription Blue PDP Comprehensive and Enhanced Comprehensive Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 group Prescription Blue PDP comprehensive and enhanced comprehensive plans.

PDF

2024 Group Prescription Blue PDP Comprehensive and Enhanced Comprehensive Formulary Updates

This is a list of changes made to the Medicare Plus Blue Group PPO and Prescription Blue Group PDP Group Comprehensive and Group Enhanced Comprehensive formularies since their initial release in October 2023

PDF

2024 Group Prescription Blue PDP Standard Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Prescription Blue PDP standard comprehensive plans.

PDF

2024 Group Prescription Blue PDP Standard Enhanced Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Prescription Blue PDP standard enhanced comprehensive plans.

PDF

2024 Group Prescription Blue PDP Standard Comprehensive and Standard Enhanced Comprehensive Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 group Prescription Blue PDP standard comprehensive and standard enhanced comprehensive plans.

PDF

2024 Group Prescription Blue PDP Standard Comprehensive and Standard Enhanced Comprehensive Formulary Updates

This is a list of changes made to the Medicare Plus Blue Group PPO and Prescription Blue Group PDP Standard and Standard Enhanced Comprehensive formularies since their initial release in October 2023

PDF

2024 Group Prescription Blue PDP Plus Comprehensive Formulary

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations for 2024 group Prescription Blue PDP plus comprehensive plans.

PDF

2024 Group Prescription Blue PDP Plus Comprehensive Prior Authorization and Step Therapy Program

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions for 2024 group Prescription Blue PDP plus comprehensive plans.

PDF

2024 Group Prescription Blue PDP Plus Comprehensive Formulary Updates

This is a list of changes made to the Medicare Plus Blue Group PPO Essential, Vitality, Signature and Assure, Medicare Plus Group PPO, and Prescription Blue Group PDP Plus Comprehensive formulary since its initial release in October 2023

The formulary may change at any time. You will receive notice when necessary.

Drug recalls

Drugs are recalled, either by the drug's maker or the FDA, when they're deemed unsafe.