Prescription Drug Benefits

When you partner with Blue Cross Blue Shield of Michigan, we help you create a total benefit package with prescription drug benefits, giving your employees an all-in one cohesive health care experience, and you'll reduce costs. Prescription drug coverage is available to fully-insured and self-funded customers. These benefits are not applicable for customers with carved-out pharmacy drug benefits.

Learn about Prescription Benefits
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View transcript

 Blue Cross Blue Shield of Michigan

Blue Care Network

Guiding you to Smarter, Better HealthcareSM

Prescription Drug Benefits: The Right Access for Your Organization and Employees

Kim Foerster

Pharmacy Services Account Management Director

Hello. At Blue Cross Blue Shield of Michigan and Blue Care Network, we know prescription drug coverage is an important part of the health care benefits you offer your employees. It’s the benefit many people use most often. So we work hard to make our pharmacy coverage the best value for your business and your employees.

The foundation of our prescription drug coverage is providing the right pharmacy access through a large, nationwide network you can count on. Our network includes 2,300 pharmacies in Michigan and over 65,000 pharmacies across the country, so you can get your medicine conveniently. We offer home delivery through Optum Rx and continue our supportive specialty pharmacy services through AllianceRx Walgreens Prime.

We offer multiple drug lists to help you tailor your group’s plan to fit your needs. And we’ll soon offer you the ability to customize those lists. They’re designed by our team of pharmacists and doctors who evaluate clinical studies and scientific reports to make their decisions. They determine drug list tiers recommending the drugs that are most effective from a clinical and cost standpoint. This enables us to give your employees access to the drugs they need that are proven to best treat their health conditions. And preferred drugs have lower out-of-pocket costs for your employees.

Providing the right access starts with access we give health care providers to online tools that help them at the time they’re writing the prescriptions. The tools tell doctors whether a certain drug is covered for a Blue Cross or Blue Care Network patient. And how much it will cost them, and whether prior authorization is required. We offer online tools that centralize important information for doctors and make it so much easier for them with patients right in the exam room.

It's all part of our commitment to help provide access to the right medicine when you and your employees need it. Please talk to your Blue Cross and Blue Care Network sales representative or your agent for more details. We so appreciate your business.

Blue Cross Blue Shield logo

bcbsm.com/groupRx

If you have any questions or needs, contact your agent or Blue Cross sales representative.

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Optum Rx® is an independent company providing home delivery pharmacy and other pharmacy benefit management services to Blue Cross Blue Shield of Michigan and Blue Care Network.

AllianceRx Walgreen Pharmacy® is an independent company providing specialty drugs and care management for some Blue Cross Blue Shield of Michigan and Blue Care Network members.

View transcript

 Blue Cross Blue Shield of Michigan

Blue Care Network

Guiding you to Smarter, Better HealthcareSM

Prescription Drug Benefits: The Right Access for Your Organization and Employees

Kim Foerster

Pharmacy Services Account Management Director

Hello. At Blue Cross Blue Shield of Michigan and Blue Care Network, we know prescription drug coverage is an important part of the health care benefits you offer your employees. It’s the benefit many people use most often. So we work hard to make our pharmacy coverage the best value for your business and your employees.

The foundation of our prescription drug coverage is providing the right pharmacy access through a large, nationwide network you can count on. Our network includes 2,300 pharmacies in Michigan and over 65,000 pharmacies across the country, so you can get your medicine conveniently. We offer home delivery through Optum Rx and continue our supportive specialty pharmacy services through AllianceRx Walgreens Prime.

We offer multiple drug lists to help you tailor your group’s plan to fit your needs. And we’ll soon offer you the ability to customize those lists. They’re designed by our team of pharmacists and doctors who evaluate clinical studies and scientific reports to make their decisions. They determine drug list tiers recommending the drugs that are most effective from a clinical and cost standpoint. This enables us to give your employees access to the drugs they need that are proven to best treat their health conditions. And preferred drugs have lower out-of-pocket costs for your employees.

Providing the right access starts with access we give health care providers to online tools that help them at the time they’re writing the prescriptions. The tools tell doctors whether a certain drug is covered for a Blue Cross or Blue Care Network patient. And how much it will cost them, and whether prior authorization is required. We offer online tools that centralize important information for doctors and make it so much easier for them with patients right in the exam room.

It's all part of our commitment to help provide access to the right medicine when you and your employees need it. Please talk to your Blue Cross and Blue Care Network sales representative or your agent for more details. We so appreciate your business.

Blue Cross Blue Shield logo

bcbsm.com/groupRx

If you have any questions or needs, contact your agent or Blue Cross sales representative.

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.

Optum Rx® is an independent company providing home delivery pharmacy and other pharmacy benefit management services to Blue Cross Blue Shield of Michigan and Blue Care Network.

AllianceRx Walgreen Pharmacy® is an independent company providing specialty drugs and care management for some Blue Cross Blue Shield of Michigan and Blue Care Network members.

A woman smiles while talking on the phone
Person holding prescription pills and a glass of water

Why prescription drug benefits matter to your workforce

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.  

The right access for your organization and 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.

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.  

Supporting your employees with cost-effective programs

We promote clinically sound, cost-effective medications for positive therapeutic outcomes. Here's how:

Formulary management

We have joint committee reviews and extensive monitoring to understand the most effective medications. We also evaluate clinical effectiveness, side effects and offer low-cost benefit options.

Utilization management

Through programs like step therapy, prior authorization and quantity limits, we're continuously evaluating and establishing the most effective medications are used. This 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 through automated text and email reminders for prescription refills and consolidated pharmacy fills, as well ascoupons and copay assistance.  

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