Group Prescription Drug Plans
To purchase prescription drug coverage, groups must also purchase health care coverage. For groups with more than 100 contracts, we can customize a prescription drug plan to meet your needs. Preferred RxPreferred Rx is a pharmacy PPO and our most cost-effective prescription drug program. Members have easy access to more than 98 percent of the pharmacies in Michigan and over 90 percent of the pharmacies in the United States. |
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Preferred Rx offers very competitive discounts on brand-name drugs and features our Maximum Allowable Cost program for generic drugs. Members pay only a copayment, if required, when they use Preferred Rx participating pharmacies.
Preferred Rx groups can choose to add the following options to their plans:
- Home Delivery (Mail Order) — Members receive postage-paid envelopes and may purchase up to a three-month supply, which results in savings on copayments.
- 90-Day Retail — Members can receive up to a 90-day supply of medication at participating 90-day retail pharmacies. Most chain pharmacies and independent pharmacies in Michigan participate in this program. Download the 90-Day Retail Pharmacy List (PDF) for a list of participating pharmacies by city.
If your group is enrolled in a BCBSM mail order plan, please note that the 90-day retail program is only compatible with your MOPD or MOPD 2X (mail order) copayment option. In addition, your 90-day retail copayment must match your current mail order copayment.
BCBSM's Preferred Rx prescription drug program offers access and quality through cost controls, large pharmacy networks and the following features:
- Copayment Options — Flat-dollar, fixed-percentage and variable-dollar copayment options for members.
- Cost Savings — Price discounts from network pharmacies and reimbursement levels well below average wholesale prices.
- Drug Formulary — Helps physicians identify cost-effective therapies that provide high-quality care for eligible plan members.
- Drug Utilization Review — Concurrent, retrospective and prospective reviews that identify potential savings as well as inappropriate use or abuse.
- Online Drug Adjudication System — Links participating pharmacies in Michigan to BCBSM database. Pharmacists have instant access to benefits, eligibility and potential drug interaction information before dispensing prescriptions.
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