Drug Information


Prescription drug coverage is built into Blue Cross Medicare AdvantageSM. The drug list, also called a formulary, includes both brand name and generic drugs. It will also tell you:

  • About your drug's co-payment
  • Whether limitations to coverage exist like:
    • Prior authorization
    • Quantity limits
    • Step therapy

Generic drugs:

You may save money by switching from brand drugs to generic drugs. These drugs:

  • Have the same active ingredient formula as brand name drugs
  • Usually cost less than brand name drugs
  • Are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs

Keep in mind, to receive your full pharmacy benefits, you should use:

  • Blue Cross Medicare Advantage network pharmacies, including our mail-order service, Primemail®* (except in an emergency). Using an out-of-network pharmacy may result in less than full reimbursement for out-of-pocket costs.
  • A preferred pharmacy which may result in lower member out-of-pocket cost.

Also, when using PrimeMail or our preferred network pharmacies, you may have the ability to:

  • Purchase a 90-day supply of a prescription drug
  • Pay only two and a half month of copays instead of three

Formulary List of Covered Drugs

Search for your prescriptions

PPO Plan 
Y0096_MRK_TMP_MAFRMLRY14 Accepted 10012013_TX PPO

PPO Plan en Español

Search for your prescriptions

Download a copy of the drug list 

Drug list en Español 

Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

*PrimeMail is a registered mark of Prime Therapeutics LLC.
PrimeMail is offered by Prime Therapeutics. Prime Therapeutics is a separate company from Blue Cross and Blue Shield of Texas and provides pharmacy benefit management services for Blue Cross Medicare Advantage.

Other pharmacies are available in our network.

You must continue to pay your Medicare Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Limitations, copayments, and restrictions may apply.