Blue Cross Blue Shield of Michigan members. Use the form that matches the Rx group number on your card to request reimbursement for a prescription drug you paid for.
Were you traveling in a foreign country and had to fill and pay for a prescription there? Include this form with the above reimbursement form so we'll have all of the information we need to process your claim.
Blue Care Network members
Members with Master Medical. This article will help you through the process of submitting a claim for a prescription drug you paid for. "How to submit a Master Medical claim."