Find a participating pharmacy
The BCN AdvantageSM ID card is accepted at a wide range of network pharmacies, including most major chains.
Where to fill your prescriptions
You must use a network pharmacy to receive plan benefits. At preferred pharmacies, you may get your drugs at a lower copay or coinsurance. The pharmacies in our network can change at any time.
BCN Advantage HMO-POS has contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your area.We have three categories of pharmacies in our network:
- Preferred pharmacies offer members lower cost-sharing for covered drugs.
- Non-preferred pharmacies may cost more than a preferred pharmacy but less than a non-contracted pharmacy.
- Mail order pharmacies may save you money on medications you take for chronic conditions and offer the convenience of home delivery.
Fill your prescription at a BCN Advantage participating retail pharmacy
You may fill prescriptions at any of more than 2,400 participating retail pharmacies throughout Michigan and thousands of pharmacies in the United States.*
* Source: Blue Cross Blue Shield of Michigan Pharmacy Report August 2012
Fill your prescription through a network mail order pharmacy
If you have a BCN Advantage Basic, Classic, Prestige or Focus plan, you are eligible for mail order prescription service through a BCN Advantage mail order vendor. Prescription drugs that you get through any other mail order service are not covered. See frequently asked questions for additional information.
You may go to a retail or use a mail order pharmacy to receive your covered prescription drugs. You can receive up to a 90-day supply of your maintenance medication through either our mail order service or through most retail pharmacies in the BCN Advantage network. You will find both preferred and non-preferred pharmacies in our BCN Advantage Provider/Pharmacy Directory.
Frequently asked questions
Preferred pharmacies are pharmacies in our network where members have lower cost sharing for covered drugs than at non-preferred network pharmacies. However, you will have lower drug prices at both preferred and non-preferred network pharmacies than at out-of-network pharmacies. You may go to either of these types of network pharmacies to receive your covered prescription drugs. Refer to your Provider/Pharmacy Directory, Comprehensive Formulary, Evidence of Coverage or call Customer Service to locate a preferred network pharmacy.
To fill a prescription at a BCN Advantage network retail pharmacy, show your member ID card. You should always present your member ID card for each prescription you have filled. If you do not have your ID card with you when you fill your prescription, you may have to pay the full cost of the prescription (rather than paying just your copayment). If this happens, you can ask us to reimburse you for our share of the cost by submitting a claim (called a Direct Member Reimbursement) to us. To find out how to submit a claim, look in your Evidence of Coverage or call Customer Service.
If you choose to go to an out-of-network pharmacy, you will pay the full cost of the prescription. See your Evidence of Coverage for details.
You must use a BCN Advantage mail order vendor (Walgreens or Medco Health Solutions, Inc.) if you want to use mail order services. Prescription drugs that you get through any other mail order service are not covered.
You can use the BCN Advantage mail order service
Our mail order pharmacies offer up to a 90-day supply of maintenance medications for 2½ times your usual copayment. Medications in Tier 5 (Specialty drugs) are limited to a 34-day supply by mail.
To ensure that you don’t run out of your medications when using our mail order prescription drug service, order at least two weeks before your prescription runs out. You can find your refill date on the prescription label and on the refill slip that comes with every order. If you don’t have enough medication, ask your doctor to give you a second prescription for a 30-day supply, and fill it at a local retail network pharmacy while you wait for your mail order supply to arrive.
You can obtain your refills by mailing the order form to Walgreens or Medco Health Solutions, Inc.
Walgreens: If you use Walgreens, call 1-800-489-2197, (TTY users should call 1-800-925-0178). The Walgreens automated phone system is available 24 hours a day, 7 days a week, as is the website, WalgreensHealth.com. You can order refills, check account balances, make payments, and check order status through the Interactive Voice Response system and website at anytime, day or night. Customer Care Professionals are accessible by phone toll free, available 24 hours a day, 7 days a week. A pharmacist is always available for emergency consultation.
Medco: If you use Medco, call 1-800-229-0832, TTY users should call 1-800-759-1089, 24 hours a day, seven days a week (except Thanksgiving and Christmas), or visit medco.com.
Generally, it takes five days to process your order and ship it to you. However, sometimes your mail order may be delayed. If your mail order is delayed, call Medco or Walgreens directly.
You are not required to use mail order prescription drug services to obtain an extended supply of mail order medications. Instead, you have the option of using a preferred 90-day retail pharmacy or a standard (non-preferred) 90-day retail pharmacy in the BCN Advantage network. Some of these retail pharmacies may agree to accept the mail-order cost-sharing amount for an extended supply of mail order medications, which may result in no difference in your out-of-pocket cost. Other retail pharmacies may not agree to accept the mail order cost-sharing amounts. In this case, you will be responsible for the difference in price.
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