Pharmacy Benefits

Blue Cross Complete of Michigan members are eligible for pharmacy benefits. You can use your benefits to fill prescription and over-the-counter medicines at a pharmacy in our network.

Finding a pharmacy

You can find a list of pharmacies near you on our Find a Pharmacy page. You can also see a copy of our pharmacy network by clicking here: Printable Pharmacy Network (PDF). If you’d like a hard copy mailed to you, call Pharmacy Customer Service at 1-888-228-3231. TTY users should call 1-888-988-0071.

More information about your pharmacy benefits can be found in your handbook (PDF).

Using your ID card for prescriptions

Show your member ID card to your pharmacy. This will help you get your prescription coverage.

Prescriptions

Your doctor may prescribe medicines when you need them. We cover medicines that are:

  • Prescribed by a licensed health care professional
  • Medically necessary
  • Approved by the Food and Drug Administration
  • Not excluded by the Michigan Medicaid program

National Prescription Drug Take Back Day

National Prescription Drug Take Back Days occur in October and April each year. These events provide a safe and easy way to get rid of medicines you no longer need. To find disposal locations near you, use this helpful search tool.

For more information, visit takebackday.dea.gov.

Over-the-counter medicines and products

We cover some over-the-counter medicines and products. You must have a prescription from your doctor. Some medicines we cover are:

  • Sinus and allergy medicines
  • Medicines to help you quit smoking
  • Pain medicine, such as acetaminophen, naproxen and ibuprofen
  • Heartburn medicine, including antacids and famotidine

See the Preferred Drug List (PDF) for the full list of covered over-the-counter medicines.

See the Preferred Diabetes Monitoring Supplies (PDF) for the full list of covered blood sugar monitors and supplies.

Carve-out medicines

Some medicines are covered by the state of Michigan and not by Blue Cross Complete. These medicines are called “carve-outs.” The carve-out list (PDF) includes medicines used for HIV, hepatitis C, cystic fibrosis, seizure disorders, sleep problems and some behavioral health issues. The pharmacy will need your MIHealth card or your Medicaid ID number to process carve-outs.

Members 21 and older will pay a small fee for carve-outs. The copay is $1 for generic medicines and $3 for brand-name medicines.

Copays

We cover the medicines on our Preferred Drug List (PDF). You won't have a copay for these medicines. Always show your member ID card at the pharmacy.

Note: Healthy Michigan Plan members won’t have a copay at the pharmacy. They may have a charge on their MI Health account.