With Blue Cross MedicareRx, you'll enjoy the convenience of:

• Pharmacies nationwide, giving you peace of mind while traveling
• More than 65,000 network pharmacies
• Long-term care and home infusion pharmacies
• Most local independent pharmacies
• Indian Health Service pharmacies

You must use Blue Cross MedicareRx network pharmacies or PrimeMail by Walgreens Mail Service (a home delivery pharmacy service) to receive prescription drug benefits. Restrictions and exceptions (under non-routine circumstances and quantity limitations) may apply.

SELECT YEAR 2018

Preferred Network Pharmacies

Blue Cross MedicareRx has formed a preferred network of pharmacies that you may use to receive plan benefits at a lower copay than other standard network pharmacies. Preferred network pharmacies include HEB, Walgreens, Kroger, Albertsons, United Supermarkets, Amigos, Market Street, Randalls, Tom Thumbs, AccessHealth and PPOK independent pharmacies. Other pharmacies are available in our network. Use the search for your pharmacy link above to find the most complete list or visit a pharmacy near you.

Pharmacy Eligibility by Plan
	Basic	Value	Plus

Home delivery pharmacy service - PrimeMail by Walgreens Mail Service

PrimeMail by Walgreens Mail Service is a home delivery pharmacy service that offers:

• Up to a 90-day supply of medications at one time
• Notifications when your order is received and when your prescriptions are sent (by e-mail or over the phone, whichever you prefer)
• Three ways to order refills: online, by phone or through the mail

Out-of-Network Pharmacies

Covered drugs are available at out-of-network pharmacies in emergency or unusual circumstances and for non-routine access to covered Part D 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 Customer Service at: 1-888-285-2249 TTY/TDD: 711.

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.

Prime Therapeutics LLC, a separate company, provides pharmacy benefit management services for Blue Cross and Blue Shield of Texas.

Prime Therapeutics has contracted with Walgreens, a company independent from Prime Therapeutics and Blue Cross and Blue Shield of Texas, to provide mail pharmacy services through the PrimeMail by Walgreens Mail Service.