The right access, improved care, plan engagement and informed decisions for your organization.
Blue Cross and Blue Care Network clinical pharmacy programs help ensure the safety, medical necessity, appropriateness and efficacy of the medicines your employees take.Improved care
Giving your employees the tools they need to take charge of their health care is just as important for their prescription drug coverage as it is for their medical coverage.Plan understanding
Integrating pharmacy and medical benefits in one Blue Cross health plan gives your business and employees holistic coverage for smarter, better health care.Informed decisions
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 these key concepts to better support you and your employees.
We offer a large network with more than 65,000 pharmacies nationwide and more than 2,000 pharmacies in Michigan. With an eye on the right access, our goal is to maximize savings and convenience for you and your employees.
As part of that, we support health care providers with improved pharmacy technology so patients get the most appropriate and economical medications available. We also encourage members to enroll in home delivery because it's more affordable and convenient.
Though we offer the largest network in Michigan, we're vigilant in safeguarding you and your employees' access. We're committed to protecting your health care investment and have conducted fraud investigations that recently netted $34 million in savings.
We promote clinically sound, cost-effective medications for positive therapeutic outcomes. Here's how:
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.
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.
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 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.
All our programs work to lower costs and improve care, but they only work if your employees can find and use them with ease. We ensure your employees use and see the value in the benefits you provide them.
In fact, we've raised the bar on the member experience by providing personalized, proactive guidance the entire year to educate, enable and influence member actions.
With our member-first approach, you can be sure that your employees can use their pharmacy benefits in an easy, useful and personal manner.
We understand your employees need help getting the right care, but we also understand that you look to us for insights and guidance.
Our team of account managers, group customer advocates, data analysts, consultants and utilization and payment integrity professionals are at your service. We all work together to anticipate your needs and intervene on your behalf.
As a team, we're committed to meet and exceed your organization's health care needs.
Read the latest news and information involving prescription drugs.MI Blues Perspectives
Our new partnership with OptumRx will provide prescription drug benefit services designed to improve the pharmacy experience, drive better health outcomes and lower costs.Read more
Our Drug Adherence Discount Program helps employers facilitate better medication adherence and lowers prescription costs for their employees.Read more
When you bundle your medical and pharmacy coverage with Blue Cross Blue Shield of Michigan, you can do more for your employees and your business.Read more
Read about the latest news and innovations from the experts themselves.See all insights
Join a live presentation with our health care experts, examining topics you've told us mean the most to your business.Reserve your seat
We're moving to a pharmacy benefits management system to keep costs more stable for our group customers and members.Read more
Browse brochures, videos and posters designed to help your employees get the most out of their Blue Cross coverage.View toolkits