BCN Advantage HMO-POS℠ and BCN Advantage HMO℠ Formularies

The BCN Advantage℠ group and individual comprehensive drug formularies list the FDA-approved prescription medications reviewed by the BCBSM and BCN Pharmacy and Therapeutics Committee.

Physicians and pharmacists are encouraged to refer to the BCN Advantage comprehensive formularies when selecting prescription drug therapy for eligible BCN Advantage members.

BCN will generally cover drugs listed in our formularies as long as the drug is medically necessary, the prescription is filled at a BCN Advantage network pharmacy and other plan rules are followed.

Formularies

To determine which formulary to use, refer to the CMS Plan number on the ID card.

Last 3 digits of CMS Plan code on ID card Type of BCN Advantage coverage
002, 003, 004, 005 or 006
Individual
8XX (code begins with an 8) Group

Formulary updates

We sometimes need to add and remove drugs from our formulary during the year. The updated list applies to both Individual and Group formularies.

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