Medicare-approved Prescription Drug coverage is included in your Medicare Blue PPO plan.

When you choose Medicare Blue PPO, you'll not only get reliable benefits for a variety of hospital and medical services, you'll also receive Medicare-approved prescription drug coverage. These benefits can offer you significant savings both on generic and preferred brand name medications.  With Medicare Blue PPO, you don't need a separate drug plan or a separate ID card to obtain Medicare-approved prescription drug coverage.

AN IMPORTANT WORD ABOUT MEDICARE-APPROVED PRESCRIPTION DRUG COVERAGE:

When you have Medicare-approved prescription drug coverage, you are receiving your drug benefits from Medicare through a plan that has contracted with the federal government. Medicare-approved prescription drug coverage is not offered on an automatic basis. You must join a Medicare Advantage or Medicare Prescription plan like Medicare Blue PPO.

What is the Medicare Blue PPO Formulary?

A formulary is a list of drugs, selected for the Medicare Blue PPO plan by a team of health providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Medicare Blue PPO will cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a Medicare Blue PPO network pharmacy, and other plan rules are followed. For complete details on how to fill your prescriptions, please refer to the Evidence of Coverage.

• MedicareBlue PPO with Rx Evidence of Coverage
• MedicareBlue PPO without Rx Evidence of Coverage

Can the Formulary change?

Yes, Medicare Blue PPO may add or remove drugs from our formulary during the year. The Rx Formulary* is current as of October 2007. To get the most updated information about the drugs covered by Medicare Blue PPO, call our pharmacy Customer Service at 1-800-642-8065, 8 a.m. TO 8 p.m., CST, Monday - Friday. For the hearing or speech impaired please call 1-800-722-0353. If we remove drugs from our formulary, or add prior authorization, quantity limits and/or step therapy restrictions on a drug or move a drug to a higher cost-sharing tier, we must notify members (who take the drug) that it will be removed at least 60 days before the date that the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 60-day supply of the drug. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug's manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug.

Medicare Blue PPO resources:

• Comprehensive Formulary (PDF, 433KB)
• Pharmacy Locator*
• Rx Formulary Search*
  
  Medicare Blue PPO Pharmacy Customer Service
  Monday - Friday, 8am - 8pm CST
  1-800-642-8065
  For the hearing or speech impaired call 1-800-722-0353

Other Rx Resources:

• Walgreens Medicare Mail Service Information*
• Walgreens Mail Order Rx Fax Form (PDF, 1037KB)

Save more when you order by mail or when you fill your prescription at the counter of any of these network pharmacies⁺:

• CVS
• Drug Warehouse
• Homeland
• Kmart
• Mays Drug Store
• Med-X Drug
• Reasor's
• Target
• The Medicine Shoppe
• Walgreens
• Wal-Mart

⁺ The list provided is current as of 5/1/2007 and does not guarantee that a pharmacy is still in the network. Currently there are more than 850 network pharmacies in Oklahoma.

Our network includes pharmacy availability that equals or exceeds Centers for Medicare and Medicaid (CMS) requirements for pharmacy access in your area. More than 56,500 pharmacies participate in our network.