Prescription Drug Mail Order Form BCBSMRX1
Who is this for?
If you have prescription drug coverage through Blue Cross Blue Shield of Michigan and your ID card has the RX group number BCBSMRX1, use this form to order your medications through the mail from Express Scripts®.
Access the form here: Rx group number BCBSMRX1 prescription drug mail order form (PDF)
What you’ll need
- Enrollee ID card
- A prescription from your doctor
- A printer to print the form
- An envelope and postage to mail the form
If you have any questions, please contact us.