Use these documents to find drug coverage information, as well as prior authorization or step therapy requirements, for your Blue Cross Blue Shield of Michigan, Blue Care Network and Medicare Advantage patients.
Refer to this list for drug coverage information for Blue Cross members whose plan uses the Clinical Drug List. This drug list is updated monthly.
This document includes recent changes that may not yet be reflected on our drug lists.
Refer to this list for suggested covered preferred alternatives for nonpreferred and nonformulary drugs that can be dispensed with lower out-of-pocket costs for members.
This document explains coverage criteria for drugs on the Clinical Drug List.
This document spells out our quantity limits for certain drugs, like opioids.
Refer to this list for drug coverage information for BCN members with a 6-Tier benefit whose plan uses the Custom Drug List. This drug list is updated monthly.
Refer to this list for drug coverage information for BCN members with a 3 or 5-Tier benefit whose plan uses the Custom Drug List. This drug list is updated monthly. For members with a closed benefit design, nonpreferred drugs aren’t covered unless we authorize them as medically necessary.
Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Drug List. This drug list is updated monthly. For members with a closed benefit design, nonpreferred drugs aren’t covered unless we authorize them as medically necessary.
This document includes recent changes that may not yet be reflected on our drug lists.
Refer to this list for suggested covered preferred alternatives for nonpreferred and nonformulary drugs that can be dispensed with lower out-of-pocket costs for members.
This document explains coverage criteria for drugs on the Custom Drug List.
This document spells out our quantity limits for certain drugs, such as opioids.
Refer to this list for drug coverage information for Blue Cross members whose plan uses the Custom Select Drug List. This drug list is updated monthly. This list is for small group or individual health plans that began on or after Jan. 1, 2014 and meet the requirements of the Patient Protection and Affordable Care Act.
Refer to this list for drug coverage information for BCN members whose plan uses the Custom Select Drug List. This drug list is updated monthly. This list is for small group or individual health plans that began on or after Jan. 1, 2014 and meet the requirements of the Patient Protection and Affordable Care Act.
This document includes recent changes that may not yet be reflected on our drug lists.
Refer to this list for suggested covered preferred alternatives for nonpreferred and nonformulary drugs that can be dispensed with lower out-of-pocket costs for members.
This document explains coverage criteria for drugs on the Custom Select Drug List.
This document spells out our quantity limits for certain drugs, like opioids.
Refer to this list for drug coverage information for Blue Cross and BCN members whose plan uses the Preferred Drug List. This drug list is updated monthly.
This document includes recent changes that may not yet be reflected on our drug lists.
Refer to this list for suggested covered preferred alternatives for nonpreferred and nonformulary drugs that can be dispensed with lower out-of-pocket costs for members.
This document explains coverage criteria for drugs on the Preferred Drug list.
This document spells out our quantity limits for certain drugs, like opioids.
Refer to this list for the drugs and products covered by Blue Cross and BCN at no out-of-pocket cost to members and comply with health care reform’s preventive benefits requirements.
This lists the drugs we cover for Medicare Plus Blue PPO plans.
This list is updated monthly to keep you informed of changes
This document explains coverage criteria for certain drugs.
This lists the drugs we cover for BCN Advantage plans including HMO ConnectedCare, HMO-POS Classic, HMO-POS Prestige and HMO-POS Prime Value.
This document explains coverage criteria for certain drugs.
This lists the drugs we cover for BCN Advantage Community Value.
This list is updated monthly to keep you informed of changes.
This document explains coverage criteria for certain drugs.
This lists the drugs we cover for Prescription Blue PDP Select.
This list is updated monthly to keep you informed of changes
This document explains coverage criteria for certain drugs.
This lists the drugs we cover for Prescription Blue PDP Premium.
This list is updated monthly to keep you informed of changes
This document explains coverage criteria for certain drugs.
This lists the comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans.
This lists the enhanced comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans.
This list is updated monthly to keep you informed of changes.
This document explains coverage criteria for certain drugs.
This lists the standard comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans.
This lists the standard enhanced comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans.
This list is updated monthly to keep you informed of changes.
This document explains coverage criteria for certain drugs.
This lists the plus comprehensive drugs we cover for Medicare Plus Blue Group and Prescription Blue Group PDP plans.
This list is updated monthly to keep you informed of changes.
This document explains coverage criteria for certain drugs.
This list is updated monthly to keep you informed of changes.
This document explains coverage criteria for certain drugs.
This lists the drugs covered under group Prescription Blue Group PDP plans.
This lists the drugs covered under group Prescription Blue Group PDP plans.
This list is updated monthly to keep you informed of changes.
This document explains coverage criteria for certain drugs.
This lists the drugs covered under group Prescription Blue Group PDP plans.
This lists the drugs covered under group Prescription Blue Group PDP plans.
This list is updated monthly to keep you informed of changes.
This document explains coverage criteria for certain drugs.
This lists the drugs covered under group Prescription Blue Group PDP plans.
This list is updated monthly to keep you informed of changes.
This document explains coverage criteria for certain drugs.