Custom Select Drug List
Use the Custom Select Drug List (PDF) when prescribing medications for members who have small group or individual health plans that began on or after Jan. 1, 2014. These are plans that meet the requirements of the Affordable Care Act.
The custom select drug list provides lower cost options for our members. Use this list for both Blue Cross Blue Shield of Michigan and Blue Care Network members. The list is broken up into five tiers, starting with the least expensive drugs.
Blue Cross Blue Shield of Michigan PPO plans classify all generic drugs as Tier 1. Blue Care Network HMO groups Tier 1 drugs into two sections for plans that use the Custom Select Drug List. Tier 1A Value-Preferred Generics have the lowest copays. Tier 1B Generics have a higher copay. We encourage physicians to prescribe preferred medications whenever possible.
The custom select drug list is updated twice a year. Since a drug's status may change and new drugs may be added, we also publish a list of updates to keep you informed of those changes.
For Blue Cross Blue Shield of Michigan PPO plans only
- Drug List Updates (PDF): An updated list of covered drugs, including custom select drugs. It's a supplement to the Custom Select drug list. We may add new drugs or change a drug's status. Use this to stay updated.
For Blue Care Network HMO plans only
- The BCN Custom and Custom Select Drug List Updates (PDF) includes monthly updates to the BCN Custom Select Drug List.
- BCN Custom Select Drug List Prior Authorization and Step Therapy Guidelines (PDF): A list of prescription drugs that require prior authorization or step therapy.