HMO Drug Lists for Group Members

Who is this for?

Michigan Health Insurance – Customer Service – Pharmacy

If you have a HMO health plan that includes prescription drug coverage through an employer, you can use these drug lists to see if your plan covers a medication.

Are you insured through an employer with more than 50 full-time employees and have an HMO plan from Blue Care Network? You can use these drug lists to see if your medication is covered. Not sure which list to use? Check your plan's prescription drug benefits or call the customer service number on the back of your Blues ID card and we'll help.

Custom drug lists

Custom Drug List (PDF)
Blue Care Network’s most comprehensive drug list. The Custom Drug List is updated every month. 

Preferred Alternatives (PDF)
If a drug you've been prescribed isn't in our drug list, your doctor can use this list to find an alternative.

Custom Select drug list

Custom Select Drug List (PDF)
The Custom Select Drug List is based on our Custom Drug List, but provides lower cost and better value. The Custom Select Drug List is updated every month.

Custom Select Drug List Alternatives for Most Common Drug Exclusions (PDF)
Use this list to find alternatives to drugs not on the Custom Select Drug List.

Other helpful drug lists

BCN Prior Authorization and Step Therapy Guidelines (PDF)
These guidelines help ensure that your doctor prescribes safe, high-quality cost-effective drugs.

Drug List Exclusions (PDF)
A list of drugs that aren't covered on the commercial Blue Cross Blue Shield of Michigan drug lists.

Drug List Updates (PDF)
The latest additions and changes to Blue Care Network's drug lists.

Preventive Drug Coverage (PDF)
A list of preventive drugs that are covered with $0 copay.

Preventive Drug List for Members with Health Savings Accounts (PDF):
A list of preventive drugs that help you stop smoking, lose weight, lower your cholesterol, lower your blood pressure and other drugs that address other common conditions.

Specialty Drug Program Member Guide (PDF)
Explains specialty drugs and where and how to order them.

15-Day Specialty Drug Limitation Program (PDF)
A list of potent specialty drugs that have a 15-day supply limit.

Quantity Limits (PDF)
A list of drugs that have limits on how much medication you can get with one prescription.