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Pharmacy

The Blue Cross and Blue Shield Service Benefit Plan has a variety of pharmacy programs to meet your prescription needs.

Coronavirus Update

FEP will waive early medication refill limits on 30-day prescription maintenance medications. Learn more here.

Pharmacy coverage you can count on

We want to make sure you and your family have convenient access to the prescription drugs you need. That’s why we have a variety of programs that help you get your prescriptions at your local pharmacy or delivered right to your door. Watch our video to see how we help keep your out-of-pocket costs low for the medications you and your family need.

Get access to over 60,000 retail pharmacies nationwide

We have a network of over 60,000 Preferred retail pharmacies nationwide to fill your prescriptions. Use our pharmacy locator tool to find one near you.

Find a Pharmacy

Our pharmacy programs

We have options that fit your needs and budget.

Retail Pharmacy Program

All of our members can access a network of over 60,000 Preferred pharmacies across the U.S. Simply show your member ID card at the pharmacy. There is no deductible—you only pay your applicable cost share amounts based on the drug tier and your coverage type.

If you have Standard Option, you may still purchase your prescription drugs and supplies from Non-preferred retail pharmacies. The pharmacy will ask you to pay the full amount for these items and then you will need to file a claim with us for reimbursement.

Mail Service Pharmacy Program

All Standard Option members, as well as Basic Option members with Medicare Part B primary, can get prescription drugs they regularly take conveniently delivered to their home. This includes maintenance or long-term drugs, such as those for high blood pressure, arthritis or other chronic conditions. You can get up to a 90-day supply for one copay.* You also have access to a registered pharmacist 24/7.

To participate in the Mail Service Pharmacy Program, complete the Mail Service Drug Prescription Form, call CVS Caremark at 1-800-262-7890 or place an order through your MyBlue member account.

Specialty Pharmacy Program

For members with complex health conditions who need specialty drugs, you can get access to our Specialty Drug Program administered by AllianceRx Walgreens Prime. Medications handled by the specialty pharmacy include oral, inhaled, injected and infused drugs, and they often require complex care, a high level of support and specific guidelines for shipment and storage. See if your medication is on our Specialty Drug List.

The Specialty Pharmacy Program also offers personalized pharmacy care management services, including:

  • 24/7 access to an on-call pharmacist
  • Medicine and disease-specific education and counseling
  • Coordination of care with you and your healthcare provider
  • Convenient delivery directly to your home or your healthcare provider's office

 

If you are prescribed a specialty drug, please call the Specialty Drug Program at 1-888-346-3731. A member of the Specialty Drug Pharmacy team will assist you with the transition to ensure your specialty drugs are received without interruption. Your doctor can also fill out the Specialty Medication Order Form.

Patient-Centered Care (P-Care) Program

Available to Service Benefit Plan members at no cost, we offer a complimentary medication-therapy management program. You can work directly with a clinical pharmacist over the phone to get help managing medication therapy and lifestyle choices to help improve your health outcomes.

Goals of the program are to help:

  • Identify and resolve medication therapy problems
  • Improve outcomes of medication therapy
  • Provide member education about medication therapy, including prescription, non-prescription and herbal products
  • Educate members on key lab values
  • Improve provider/patient dialogue

To learn more and see the resources available for common health conditions, view and download our list of Patient-Centered Care brochures

Standard Option Generic Incentive Program

For Standard Option members who switch to a generic medication, we’ll waive your cost share for your first four prescription fills or refills.

View and download the Generic Incentive Program Drug List to see if there’s an alternative generic drug that can appropriately treat your condition. If your healthcare provider agrees, then simply request a new prescription for up to a 90-day supply of the generic drug alternative. Fill your prescription as you normally would by using the Retail or Mail Order Pharmacy Programs for non-specialty drugs or the Specialty Pharmacy Program for specialty drugs.

Discount Drug Program

Members can get lower prices on prescription drugs not covered by our pharmacy benefits. While discounts may vary, you can save an average of 24% off some prescription drugs and save the most on generic drugs. Discounted prices are only available at participating retail pharmacies.

To learn more on how to fill your prescriptions using this program, view and download our Discount Drug Program Quick Reference Guide.

Have questions? Review our FAQs

 

*If the cost of your prescription is less than your copay, you pay only the cost of your prescription. The Mail Service Pharmacy Program will charge you the lesser of the prescription cost or copay when you place your order.

Take a closer look at our prescription drug formularies

A formulary is a list of covered drugs. We have a unique formulary for each of our three plan options.

See Formularies

Get in Touch

Retail Pharmacy Program

Mail Service Pharmacy

For refills, call: 1-877-FEP-FILL (1-877-337-3455)

Specialty Drug Program

24/7 Nurse Line

Get prescription advice from a registered nurse