We’re changing how we cover some prescription drugs starting in July

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 continuously review prescription drugs to provide the best value for our members, control costs and make sure our members are using the right drug for the right situation.

Starting July 1, 2022, we’ll change how we cover some medications on the drug lists associated with our prescription drug plans. We’ll send letters to affected members, their groups and health care providers.

Drugs that won’t be covered

We’ll no longer cover the drugs on the following list. Unless noted, both the brand name and available generic equivalents won’t be covered. If members fill a prescription for one of these drugs on or after July 1, 2022, they’ll be responsible for the full cost.

The drugs that won’t be covered are listed below, along with suggested covered preferred alternatives that have similar effectiveness, quality and safety. When pharmacies fill prescriptions with preferred alternatives, the generic equivalents are dispensed, if available. Additional coverage requirements may apply for preferred alternatives, such as prior authorization.

**Drug is already not covered for Preferred Drug List
***Drug is already not covered for Custom Select Drug List

Drugs that will have a higher copayment

The brand-name drugs that will have a higher copayment are listed, along with suggested covered preferred alternatives that have similar effectiveness, quality and safety. When pharmacies fill prescriptions with preferred alternatives, the generic equivalents are dispensed, if available. Additional coverage requirements may apply for preferred alternatives.