Pharmacy Services

Blue Cross Blue Shield of Michigan

Some drugs on the drug list require prior authorization, and certain clinical criteria must be met before they can be dispensed. Other drugs are part of our step-therapy program, which means the patient must be treated with one or more preferred drug therapies before these drugs are covered. Both categories of drugs are marked or identified in our drug list Quick Guide and on our custom drug list.

Blue Cross Complete

Billing information for Michigan pharmacies

Express Scripts Payer Sheet (Information) 

Effective Jan. 1, 2019, BCBSM’s and BCN’s Commercial Pharmacy Network will switch to the National Plus (EN50) Pharmacy Network managed by Express Scripts® (ESI). For questions about Commercial and Medicare payer sheets, Pharmacists and pharmacies should go to the Express Scripts website (Pharmacist Resource Center) or call Express Scripts at: 888-571-8182.