Pharmacy Directory
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With few exceptions, your prescriptions must be filled at network retail or mail-order pharmacies in order for your prescription drugs to be covered. Medicare Plus Blue and Prescription Blue have contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your area. In Michigan about 86 percent* of pharmacies are network pharmacies. Nationwide, more than 80 percent* of pharmacies are in our network, including most chains. This directory includes preferred and non-preferred network pharmacies. You may pay a lower copay at a preferred pharmacy.
Generally, Medicare Plus Blue and Prescription Blue only covers drugs filled at an out-of-network pharmacy in these situations:
- If the prescription is related to care for a medical emergency or urgently needed care
- If you are traveling within the U.S. — outside the plan's service area — and become ill, or lose or run out of your drugs
- If there are no network pharmacies within reasonable driving distance that provide 24-hour service
- If your covered drug is not regularly stocked at a network pharmacy
In these situations, you will have to pay the full cost (rather than paying just your co-payment) when you fill your prescription at an out-of-network pharmacy. You can ask us to reimburse you for our share of the cost by submitting a paper claim form. Before you fill a prescription at an out-of-network pharmacy, please contact us to see if there is a network pharmacy available.
You may request the Pharmacy Directory in alternative formats by calling 800-485-4415, 8 a.m. to 8 p.m., seven days a week. TTY users, call 800-481-8704.
If you are part of a Medicare Plus Blue group and are looking for the Pharmacy Directory for group coverage, go to 2009 information for groups.
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