Plan Documents and Forms
Provider Patient Review Inquiry
- Provider Patient Review Inquiry Form
Blue Cross Blue Shield of Michigan and Blue Care Network providers can use this form to begin the Provider Patient Review Inquiry process.
Pharmacy services
Blue Cross Blue Shield of Michigan:
- Clinical Formulary
The Clinical Formulary is updated twice a year and provides a list of drugs covered by our plans. - Custom Formulary
The Custom Formulary is a prescription resource for members with three-tier or closed formulary plans. - Medicare Plus Blue PPO and Prescription Blue PDP formularies
Find out what prescription drugs are covered under Medicare Plus Blue PPO and Prescription Blue PDP.
Blue Care Network:
- Blue Cross Complete (Medicaid)
Get important information about Blue Cross Complete. - Custom Formulary
Find out what prescription medications are covered in our custom formulary. - Prior Authorization and Step-Therapy Guidelines
Learn how the Prior Authorization and Step-Therapy Guidelines can help reduce costs while maintaining quality pharmaceutical care.
Supply forms
- Supply Forms
Learn how to order general administrative materials if you're a Blue Care Network, Blue Cross Blue Shield of Michigan, dental, or vision and hearing provider.
Referrals
- Referrals
Get access to out of network referral forms and learn how to submit referrals electronically.
Continuing education
- Training and Seminars
Learn about billing, electronic services and more with our training and seminars designed for physicians and hospitals.
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