Mail Order Drug Forms
Who is this for?
If you have prescription drug coverage through Blue Cross Blue Shield of Michigan or Blue Care Network, use these forms to order your medications through the mail.
If you have any questions, call the number on the back of your enrollee ID card, or please contact us.
Prescription drugs
Blue Cross Blue Shield of Michigan
Use the form that matches your Rx group number to order and get prescription drugs by mail.
Blue Care Network
Medicare member?
You can find mail order drug forms on our Medicare website.
Specialty drugs
Blue Cross Blue Shield of Michigan and Blue Care Network members can use this form to order and get your specialty drugs by mail.
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