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October 2017

Pharmacy network change for Blue Cross and BCN Medicare Part D plans

Effective Jan. 1, 2018, Blue Cross Blue Shield of Michigan and Blue Care Network Medicare Part D plans will move to an Express Scripts managed pharmacy network, Medicare Preferred Value Network. These Medicare Part D plans will adopt standard and preferred pharmacy contracts for 30- and 90-day prescriptions.

How this affects our members
Currently, our members pay a lower cost share only when they obtain 90-day prescriptions. This change will allow them to pay a lower cost share for both 30- and 90-day prescriptions when they go to a preferred pharmacy. It will also support the improvement of our members’ medication adherence.

Members can locate preferred pharmacies near them by logging in to our website, bcbsm.com/pharmaciesmedicare, or by calling the Customer Service number on the back of their Blue Cross member ID card.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2016 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.