Commercial drug formulary
Our drug formulary is a regularly updated list of medications that have been approved by the Food and Drug Administration. We use the clinical judgment of Michigan physicians, pharmacists and other experts in health care diagnosis and treatment to organize our formulary into tiers based on each drug's clinical effectiveness, safety and opportunity for cost savings.
Our formulary includes the following three tiers:
| Level | Flat Rx rider | Percentage Rx rider | Two-tier Rx rider | Three-tier Rx rider |
|---|---|---|---|---|
| Tier 1 Formulary Preferred Most generic medications |
Covered at flat copay amount | Covered at stated percentage | Covered at lowest copay | Covered at lowest copay |
| Tier 2 Formulary Options Brand-name medications |
Covered at flat copay amount | Covered at stated percentage | Covered at highest copay | Covered at middle copay |
| Tier 3 Nonformulary May not be covered |
Covered at flat copay amount | Covered at stated percentage | Not covered unless the prescriber and BCN agree that the requested drug is medically necessary | Covered at highest copay |
Use the links provided to view our:
- Formulary Quick Guide for Members (1.8 MB PDF) — our most commonly prescribed drugs
- Custom Formulary (1.3 MB PDF) — our complete formulary
page modified 04/23/2008