This link will take you to a new site not affiliated with BCBSTX. It will open in a new window. To return to our website, simply close the new window. Refer to important information for our linking policy.
Blue Cross Medicare Advantage contracts with pharmacies that equal or exceed the Centers for Medicare & Medicaid Services (CMS) requirements for pharmacy access in your area.
With Blue Cross Medicare Advantage, you'll enjoy the convenience of:
To access prescription drug benefits, you must use Blue Cross Medicare Advantage network pharmacies or PrimeMail mail-order service (except under non-routine circumstances and quantity limitations). Restrictions may apply.
To help keep costs low, Blue Cross Medicare Advantage has formed a network of pharmacies that you must use to receive plan benefits. Participating pharmacies include CVS, Walmart, HEB and Good Neighbor Independent Pharmacies. Other pharmacies are available in our network. Search the Pharmacy Locator to find or visit a pharmacy near you.
By using a preferred network pharmacy or PrimeMail, you may purchase a 90-day supply of an eligible prescription drug and pay only two and a half months of copays instead of three. (Some network pharmacies are not preferred, and therefore do not offer lower copays for a 90-day supply.)
My PrimeMail is a mail-service pharmacy that offers:
Covered drugs are available at out-of-network pharmacies in emergency or unusual circumstances and for non-routine access to covered Blue Cross Medicare Advantage drugs (illness while traveling outside the plan's service area where there is no network pharmacy, for example). For more information on these special circumstances for out-of-network coverage and/or what pharmacies may be available to you, please contact a Product Specialist.
*Per Geo Access analysis conducted in July 2013.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year.
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.
SM Service Mark of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans
® Registered Service Marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans