2025 Drug Lists for Medicare Members

A drug list, also called a formulary, is a list of prescription drugs your health plan covers. Here you can find the drug lists related to your Blue Cross Blue Shield of Michigan and Blue Care Network Medicare prescription drug coverage. Simply choose your plan to get started.

Select your plan

Medicare Plus Blue PPO Essential

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

Medicare Plus Blue PPO Signature

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

Medicare Plus Blue PPO Vitality

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

Medicare Plus Blue PPO Assure

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

Medicare Plus Blue PPO + Meijer

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

Medicare Plus Blue PPO Part B Credit

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

BCN Advantage HMO ConnectedCare

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

BCN Advantage HMO Local

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

BCN Advantage HMO-POS Community Value

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

BCN Advantage HMO-POS Classic

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

BCN Advantage HMO-POS Prestige

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

BCN Advantage HMO-POS Prime Value

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

Prescription Blue PDP Select

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

Prescription Blue PDP Premium

For members with an individual plan

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

Group Medicare Plus Blue PPO

For members who have a Medicare plan through an employer

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

Group BCN Advantage HMO and HMO-POS

For members who have a Medicare plan through an employer

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists which medical coverage drugs require prior authorization or step therapy.

This document lists certain drugs and diabetic testing supplies that pharmacies can bill directly for, allowing members to use a network pharmacy when approved for coverage under the Medicare Part B benefit.

Group Prescription Blue PDP

For members who have a Medicare plan through an employer

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

This document lists covered drugs, what tiers they're in and if they have any requirements or limitations.

This document lists which drugs require prior authorization or step therapy and other requirements like age restrictions.

Looking for 2024 drug lists?

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