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Medicare-approved Prescription Drug coverage is included in your Blue Medicare PPO plan.
When you choose Blue Medicare PPO, a preferred provider health insurance plan, 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 on both generic and preferred brand name medications. With Blue Medicare PPO, you don't need a separate drug plan or a separate ID card to obtain Medicare-approved prescription drug coverage.
What is the Blue Medicare PPO Formulary?
The Blue Medicare PPO formulary is a list of drugs selected by a team of health providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Blue Medicare PPO will cover the drugs listed in our formulary as long as:
- The drug is medically necessary
- The prescription is filled at a Blue Medicare 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.
Evidence of Coverage
Can the Formulary change?
Yes. Drugs may be added or removed from the Blue Medicare PPO Formulary during the year. To get the most updated information about the drugs covered by Blue Medicare PPO, call our pharmacy Customer Service at (888) 277-5507, 8 a.m. to 9 p.m., CST, Monday through Friday. For the hearing or speech impaired please call (800) 693-3816.
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, members will be notified at least 60 days before the date that the change becomes effective
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.
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 Blue Medicare PPO.
Blue Medicare PPO resources:
- Pharmacy Directory (PDF, 1.45MB)
- Pharmacy Locator*
- Rx Formulary Search*
- Rx Comprehensive Formulary List (PDF, 445KB)
- Rx Claim Form (PDF, 199KB)
Blue Medicare PPO Pharmacy Customer Service
Monday - Friday, 8 a.m. - 9 p.m. CST
(888) 277-5507
For the hearing or speech impaired call (800) 693-3816
Other Rx Resources:
- Walgreens Medicare Mail Service Information*
- Walgreens Mail Order Rx Fax Form (PDF, 111KB)
- Walgreens Rx Mail Order Form (PDF, 111KB)
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