Benefit information

If you have a Blue Care Network prescription drug rider, you have prescription drug coverage. Your drug rider outlines the terms and conditions of your drug coverage. It also lists your copayment responsibility as a dollar amount or as a percentage of the total prescriptions cost and indicates when the copayment applies.

You can also view a list of products and services that aren’t covered through your BCN drug rider.

You can get up to a 30-day supply of medication for one copayment. You can also get up to a three-month (90-day) supply of your prescription at a retail pharmacy for only two copayments. To decrease waste and to ensure the drug and dose are right for you, an initial 30-day trial is required the month before a 90-day supply of a brand-name prescription is covered.

15-day supply limit on some specialty drugs

Specialty drugs are limited to a 30-day fill for Blue Care Network commercial members. 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.

This applies only to these oral oncology drugs:

Your online drug benefit tool

The drug benefit tool can be used to view your copays for the drugs you take. It also 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 BCN Advantage HMO-POS℠ 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 02/15/2012