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BlueCaid
The BlueCaid prescription drug program (PDF) identifies the basic terms of coverage for BlueCaid members. When prescribing medications for BlueCaid members, please refer to the BlueCaid Preferred Drug List (PDF).
BlueCaid members can have their prescription filled at more than 2,000 retail pharmacies throughout Michigan. OptionCare handles mail-order prescriptions for specialty drugs (PDF). Members can also fill their specialty drug prescriptions at a University of Michigan Health System Pharmacy, or from a BlueCaid-affiliated retail pharmacy.
If a medication requires step-therapy or prior authorization, you can request coverage for your BlueCaid patient based on medical necessity. Generally, BlueCaid will only approve your request for authorization if the alternative drugs on the BlueCaid Preferred Drug List PDF) would not be effective for the member or would cause the member to have adverse medical effects. To request coverage, complete the BlueCaid Medication Request Form (PDF) and fax to MedImpact at 858-790-7100.
For an interactive version of this form that can be faxed from your PC, logon to web-DENIS and go to BCN Publications and Resources > BlueCaid.
