Benefit information

BCN prescription fills change to 30-day supply in January

Starting January 1, 2011, prescriptions for members will be filled for up to a 30-day supply for one copayment. Previously the prescription could be filled for up to a 34-day supply. The change aligns with the actual days of most months, with physician prescribing habits and with Blue Cross Blue Shield of Michigan practice.

Exceptions

BlueCaid® and BCN AdvantageSM members are not affected by this change.

Also, the 90-day supply program is not affected by this change. Members can still get up to a 90-day supply of most medicines for two copayments from most contracted retail pharmacies. An initial 30-day prescription must first be filled for brand-name medicines.

15-day supply limit on some specialty drugs

Specialty drugs are limited to a 30-day fill for Blue Care Network commercial members. Effective January 1, 2011, the first fill of a select number of highly potent specialty drugs may be limited to a 15-day supply. If the member is able tolerate the drug, he or she can then go back to the pharmacy to receive the rest of the 15-day supply. Members who have filled prescriptions for at least a 15-day supply of these drugs in the past 180 days can continue to receive a full 30-day supply all at once.

The Jan. 1 change applies only to these oral oncology drugs:

Your online drug benefit tool

This tool keeps you in control of your drug benefit and is customized to your personal drug benefit plan.

This tool is only for members with a BCN or BCNA drug benefit. To use this tool, you must first register.

Your drug benefit (copayment information)

You'll find information for many of our more commonly prescribed drugs:

Your prescription drug rider has specific information regarding the mail order copayment.

 

 

page modified 09/23/2011