BCN Advantage℠ HMO-POS and BCN Advantage℠ HMO Formularies

The BCN Advantage℠ group and individual comprehensive drug formularies list the FDA-approved prescription medications reviewed by the BCBSM and BCN Pharmacy and Therapeutics Committee.

Physicians and pharmacists are encouraged to refer to the BCN Advantage comprehensive formularies when selecting prescription drug therapy for eligible BCN Advantage members.

BCN will generally cover drugs listed in our formularies as long as the drug is medically necessary, the prescription is filled at a BCN Advantage network pharmacy and other plan rules are followed.

Formularies

To determine which formulary to use, refer to the CMS Plan number on the ID card.
Last 3 digits of CMS Plan code on ID card Type of BCN Advantage coverage
002, 003, 007, 014 Individual: Classic, Prestige, Prime Value and ConnectedCare
012 Individual: Community Value

801, URMBT

805, all other groups

Group

For individuals in the following plans: HMO ConnectedCare, HMO-POS Classic, HMO-POS Prestige, and HMO-POS Prime Value:

For individuals in the HMO-POS Community Value plan:

For groups: