Pharmacy

Preferred Drug List and Specialty Drug Guide

The Blue Cross Complete Preferred Drug List and Specialty Drug Guide list the medicines we cover. They also tell you which medicines require prior authorization or may have other criteria.

Preferred Drug List

Your prescription benefit covers most generic medicines. These are covered when prescribed by a Blue Cross Complete doctor and filled at a Blue Cross Complete pharmacy.

Specialty drugs

If you take specialty drugs for complex or rare conditions, such as arthritis, multiple sclerosis, hepatitis C or others, you can get prescriptions for these drugs filled at several locations. These include University of Michigan Health System pharmacies, our network retail pharmacies or Walgreen's Specialty Pharmacy. These drugs are listed on our Specialty Drug Guide.

Medicines covered by the state of Michigan

Some medicines are covered by the state of Michigan. This includes drugs used for HIV or AIDS, seizure disorders, sleep disturbances and certain types of mental illness. Some of the medicines covered by the state are shown on this list.

There may be a small copay for these medicines and you will need to show your mihealth card at the pharmacy. The mihealth card is your Michigan Medicaid card.

Members age 21 and older will have a copay. This means you pay a small charge for these medicines when you fill your prescription. The state's copay for these medicines is $1 for generic medicine and $3 for brand name medicine.

NOTE: The medicines on the Blue Cross Complete Preferred Drug List (PDF) remain covered by Blue Cross Complete. You still will not have a copay for medicines on this list. At the pharmacy, you will show your Blue Cross Complete ID card.

 


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page modified 12/07/2012