Prescription Drug Benefits

With Blue Cross Blue Shield of Michigan pharmacy coverage you'll give your employees an all-in-one cohesive health care experience, and you'll reduce costs.

What you'll get with our prescription drug benefits

1.
Medical and pharmacy policies that align with each other
2.
One centralized point of contact
3.
The flexibility to tailor offerings based on your group’s needs
4.
Expanded reporting for an overall view of your employees' usage

How it works

Pharmacy is often your employees' most-used benefit, so it's important to provide them with the best experience possible. To ensure excellence, we've focused on five key areas to better support you and your employees.

Network management

We offer a large network with more than 64,000 pharmacies nationwide, and our goal is to maximize savings and convenience for you and your employees.

Formulary management​

We promote clinically sound, cost-effective medications for positive therapeutic outcomes​. To understand what the most effective medications are we have joint committee reviews and extensive monitoring. We also evaluate clinical effectiveness, side effects and offer low-cost benefit options.

Utilization management​

We're continuously evaluating the medical necessity, appropriateness and efficiency of health care services and medications​ to ensure their effectiveness. We do this through programs like step therapy, prior authorization and quantity limits, which has amounted to more than $310 million in savings in 2019.

Specialty ​pharmacy care​

We provide management of medications that are either high cost, high complexity or high touch​. This helps reduce your costs and improve your employees' health.

Medication adherence

Medication adherence can have a positive impact on the quality and length of your employees' lives. We encourage our pharmacy members to take their medications as prescribed. This is communicated through automated text and email reminders for prescription refills, consolidated pharmacy fills and coupons and copay assistance.

Downloadable resources

Use these toolkits to educate your employees on how to get the most out of their health plan.

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TOOLKIT
COVID-19

Help your employees learn more about prevention, coverage and care of COVID-19

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TOOLKIT
Open enrollment

Help your employees understand how to enroll in a health care plan.

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TOOLKIT
Flu shot

Educate your employees on the importance of getting the flu shot during flu season.

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TOOLKIT
Using an online account

Help your employees learn how to manage their online account at bcbsm.com.

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ARTICLE

What you need to know about the coronavirus

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TOOLKITS

Resources to share with your employees

Browse brochures, videos and posters designed to help your employees get the most out of their Blue Cross coverage.

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