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Blue MedicareRx

What is Blue MedicareRx?

Blue MedicareRx is the Medicare-approved prescription drug coverage offered through Blue Cross and Blue Shield of Texas.

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How much does it cost?

The cost varies depending on the plan you select. Understanding that not everyone has the same needs, Blue MedicareRx offers you the choice of three plans: Standard, Value and Plus. Below is a brief description of each:

Standard Plan - a basic plan that has a deductible and coinsurance, similar to the plan designed by the federal government.

Value Plan - fixed copayments and no deductible for those who want the protection of insurance.

Plus Plan - comprehensive coverage that includes fixed copayments and coverage during the gap.

Review the Blue MedicareRx Plan Comparison (PDF) that details all three plans including benefits and monthly premiums.

Review a complete Summary of Benefits (PDF).


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What drugs are covered?

Blue MedicareRx covers an extensive list of drugs, called a formulary. The formulary includes generic, brand and specialty drugs as well as 100% of the top 100 drugs covered by Medicare. Click on one of the links below to find your drugs.


60-Day Formulary Change Notice - The Blue MedicareRx drug list, also called a formulary, is current as of this publication. The information is updated on a monthly basis. Once enrolled, you can call our Customer Service Department at 1-888-579-9373, 8 a.m. - 8 p.m. CST to obtain additional information on any changes to the Blue MedicareRx Formulary. For the hearing or speech impaired, please call 1-888-579-9375.

If a medication is removed from the list, you will be notified at least 60 days before it is removed from the formulary. We will also update this information, along with any drugs added to the formulary, on our Important News and Updates page. (If the FDA deems a drug on the list is unsafe or the drug's manufacturer removes the drug from the market, we will immediately remove it from our list.)


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Where can I get my prescriptions filled?

With over 55,000** pharmacies nationwide, we have one of the largest retail pharmacy networks in the country. These pharmacies are all network pharmacies and must be used to receive Blue MedicareRx benefits. Below are three ways to fill your prescriptions right in your neighborhood:

Network Pharmacies - Just show your Blue MedicareRx ID card at any one of our network pharmacies, including CVS, Albertsons, Wal-Mart, Kroger, Walgreens among others, to get your prescriptions filled. Use our Pharmacy Locator* to find the network pharmacy closest to you.

Preferred Network Pharmacies - Blue MedicareRx makes it easy to save even more on your medications when you visit a preferred network pharmacy. When filling a 90-day supply of an eligible prescription drug, pay just two (2) copayments instead of three (3) when you visit one of our preferred network pharmacies such as CVS, Albertsons, Wal-Mart, Kroger and many more. View a complete list of the preferred network pharmacies (PDF) in your area.

Mail Order Program - In addition to our retail pharmacies, we also offer the convenience of mail order. The mail order option, administered by Walgreens, allows you to have a 90-day supply of eligible prescriptions delivered to your home.

As mentioned above, you are not required to use mail order prescription drug services to obtain an extended supply of maintenance medications. Please refer to the Preferred Network Pharmacies section above for a list of those retail pharmacies that have agreed to accept the mail order copayment for an extended supply of medications. Use of the preferred network pharmacies may result in no out-of-pocket payment difference to you.

Blue MedicareRx has contracts with pharmacies that equal or exceed Centers for Medicare & Medicaid Services (CMS) requirements for pharmacy access in your area.

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FOOTNOTES


* By clicking this link, you will leave the Blue MedicareRx Web site.

** Per a GEO Access analysis conducted by Prime Therapeutics. 7/20/2006.

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Last updated 10/1/2006 - S5715-MRK-TXWebsite