Mail Order Drug Forms
As a Blue Cross or BCN member with pharmacy benefits, you can get prescription medications delivered to your home using the Optum Home Delivery mail order service.
Use the Optum prescription drug mail order form (PDF) to get your prescription drugs by mail.
If you have any questions, call the number on the back of your member ID card, or please contact us.
You can find mail order drug forms on our Medicare website.
Blue Cross and BCN members can get their specialty drugs through AllianceRx Walgreens Pharmacy. For more information, call 1-866-515-1355 or visit alliancerxwp.com. For a current list of specialty drugs in this program, see the Specialty Drug Program Rx Benefit Member Guide (PDF).