Pharmacy Coverage
Offering a high-quality, affordable pharmacy benefit is an important component of our health plans. Most of our standard plans come with pharmacy benefits and pharmacy management plans that help members make smart-cost effective decisions.
To see what pharmacy benefits are available with particular plans, visit those plan family pages and review the specific benefit summary for the plan your client is interested in.
In addition, you can download marketing brochures and other pharmacy benefit information below.
Please check our Forms Library on bluecrossma.com for additional forms and brochures.
Marketing brochures
Your Pharmacy Coverage Brochure
Mail Service Prescription Program Brochure
Your Pharmacy Program Brochure
Pharmacy Program Formulary Guide
Your Guide to the BlueValue Rx Formulary
Your BlueValue Rx Pharmacy Program
Forms and benefit information
Patient Profile Form for Mail Service Pharmacy
Physician Request for Prior Authorization Form
Quality Care Dosing (QCD) Affected Drug List
Drug Claim Form for Mail Service Pharmacy
