Pharmacy Benefits

Blue Cross Complete of Michigan members are eligible for pharmacy benefits. You can use your benefits to fill prescription and over-the-counter medicines at a pharmacy in our network.

Finding a pharmacy

You can find a list of pharmacies near you on our Find a Pharmacy page. You can also see a copy of our pharmacy network by clicking here: Printable Pharmacy Network (PDF). If you’d like a hard copy mailed to you, call Pharmacy Customer Service at 1-888-288-3231. TTY users should call 1-888-988-0071.

More information about your pharmacy benefits can be found in your handbook (PDF).

Using your ID card for prescriptions

Show your member ID card to your pharmacy. This will help you get your prescription coverage.

Prescriptions

Your doctor may prescribe medicines when you need them. We cover medicines that are:

  • Prescribed by a licensed health care professional
  • Medically necessary
  • Approved by the Food and Drug Administration
  • Not excluded by the Michigan Medicaid program

Preferred drug list

The Preferred Drug List, known as the drug formulary, is the list of medicines we cover. This list can help your doctor select medicines for you. Both generic and brand name medicines are on the list. We require that generic medicines be used when available.

Copays

We cover the medicines on our Preferred Drug List (PDF). You won't have a copay for these medicines. Always show your member ID card at the pharmacy.

Note: Healthy Michigan Plan members won’t have a copay at the pharmacy. You may have a charge on your MI Health account.

Opioids

Opioids are a class of drugs that include pain medicines available from a doctor. Drugs, such as morphine, codeine and oxycodone are common opioids used to treat pain. Others include the synthetic opioid, fentanyl, and the illegal drug, heroin. If misused or not taken as prescribed, all opioids are able to cause addiction or death.

Medicine disposal bags available for members

Do you have old or unused medicine lying around? It’s important to get rid of it safely. Blue Cross Complete can help you do that. We provide free medicine disposal bags to members. You can use these bags to get rid of your old medicine. It’s good for the environment and protects your household from any misuse.

National Prescription Drug Take Back Day

National Prescription Drug Take Back Days occur in October and April each year. These events provide a safe and easy way to get rid of medicines you no longer need. To find disposal locations near you, use this helpful search tool.

For more information, visit takebackday.dea.gov.

Carve-out medicines

Some medicines are covered by the state of Michigan and not by Blue Cross Complete. These medicines are called “carve-outs.” The carve-out list (PDF) includes medicines used for HIV, hepatitis C, cystic fibrosis, seizure disorders, sleep problems and some behavioral health issues. The pharmacy will need your MIHealth card or your Medicaid ID number to process carve-outs.

Members 21 and older will pay a small fee for carve-outs. The copay is $1 for generic medicines and $3 for brand-name medicines.