Prescription drugs are a vital part of your health care coverage. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas (BCBSTX), this information can help you and your doctor get the most from your prescription drug coverage.
If you are a BCBSTX member, log in to Blue Access for MembersSM (BAMSM) to check your drug list and learn more about your prescription drug benefits. Be sure to review your benefit materials for details. If you have any questions about your prescription drug benefits, call the number listed on your member ID card.
Prescription Drug List
A drug list is a list of drugs that are covered under your prescription drug benefit. How much you pay out of pocket is determined by whether your drug is on the list and at what coverage level, or tier. A generic drug is often at the lower tier. See if your drug is covered.
Some prescription drug plans may require you to pay more if you fill a prescription for a brand name drug when a generic equivalent is available. This Member Pay the Difference encourages members to use drugs that are safe, work well and are cost effective.
Health plans may administer medical and pharmacy coverage separately for select drugs. Some drugs are covered under your medical plan instead of your pharmacy benefits. These can include drugs that must be given to you by a health care provider. These drugs are often given to you in a hospital, doctor’s office or health care setting. Examples of these drugs are contraceptive implants and chemo infusion.
Nearby Pharmacies and Home Delivery
BCBSTX has a broad network of contracting pharmacies. To use your benefits, simply find a local contracting pharmacy and show your member ID card.