Starting Jan. 1, we’ll change how we cover some drugs

Our goal at Blue Cross Blue Shield of Michigan and Blue Care Network is to provide our members with safe, high-quality prescription drug therapies. We continually review prescription drugs to provide the best value for our members, control costs and ensure members are using the right medication for the right condition.

Starting Jan. 1, 2020, we’ll change how we cover some brand-name and generic drugs. We’ll also set new quantity limits on certain drugs.

Note: Changes vary by drug list as specified below. For a complete list of 2020 covered drugs go to bcbsm.com/pharmacy. These changes apply to members with commercial pharmacy benefits (not Medicare D). They don’t apply to the Federal Employee Program^®.

Drugs on Preferred Drug List that will have a higher copayment
The brand-name drugs that will have a higher copayment are listed below, along with the covered preferred alternatives that have similar effectiveness, quality and safety. The brand names of select covered alternatives are provided for your reference. When a prescription is filled, the generic equivalent is dispensed, if available. 

Drugs on Preferred Drug List that won’t be covered
The brand-name and generic drugs that won’t be covered are listed below, along with the covered preferred alternatives that have similar effectiveness, quality and safety. Unless noted, both the brand name and available generic equivalents won’t be covered. The brand names of select covered alternatives are provided for your reference. When a prescription is filled, the generic equivalent is dispensed, if available.

Drugs on Clinical and Custom Drug Lists that will have a higher copayment
The brand-name drugs that will have a higher copayment are listed below along with the covered preferred alternatives that have similar effectiveness, quality and safety. The brand names of select covered alternatives are provided for your reference. When a prescription is filled, the generic equivalent is dispensed, if available.

Drugs on Clinical and Custom Drug Lists that won’t be covered
The brand-name and generic drugs that won’t be covered are listed below, along with the covered preferred alternatives that have similar effectiveness, quality and safety. Unless noted, both the brand name and available generic equivalents won’t be covered. The brand names of select covered alternatives are provided for your reference. When a prescription is filled, the generic equivalent is dispensed, if available.

Drugs on Custom Select Drug List that will have a higher copayment
The brand-name drugs that will have a higher copayment are listed below, along with the covered preferred alternatives that have similar effectiveness, quality and safety. The brand names of select covered alternatives are provided for your reference. When a prescription is filled, the generic equivalent is dispensed, if available.

Drugs on Custom Select Drug List that won’t be covered
The brand-name and generic drugs that won’t be covered are listed below along with the covered preferred alternatives that have similar effectiveness, quality and safety. Unless noted, both the brand name and available generic equivalents won’t be covered. The brand names of select covered alternatives are provided for your reference. When a prescription is filled, the generic equivalent is dispensed, if available.

Quantity limits
The drugs below will have changes to the amount that can be filled. These changes apply to all drug lists.