Prescription Plan Information
The information here can help Blue Cross and Blue Shield of MontanaSM members get the most from their prescription drug coverage.
Where to Fill Your Prescriptions
- Find A Pharmacy
- Use the Value Pharmacy Network
- Get a 90-Day Supply
- Learn About Requirements
Medical Versus Prescription Benefits
Health plans may administer medical and pharmacy coverage separately for some drugs. Some drugs are covered under your medical plan instead of your pharmacy plan. These may include drugs given to you by a nurse or doctor given to you in a hospital or doctor’s office.
Care Management
Your prescription benefits include Pharmacy Care Management1. PCM can help answer questions you may have about your prescription drugs. It may also help you find ways to save on your out-of-pocket costs.
The program helps you get the best results from the medicines you take. A member of our team may reach out to talk with you about the medicines you take to make sure your treatment is safe and works well. For more information about how PCM works, get the member flier .
More Resources
Glucose Meter Offer
BCBSMT offers blood glucose meters to members with diabetes at no additional charge to help you manage your condition. Get the glucose meter flier for more information about this offer. For other test strips and glucose meters, log into BAM to check costs. Costs may vary based on your coverage.
Commonly Prescribed Drugs
View the Commonly Prescribed Formulary Medications list. These are drugs taken regularly for an ongoing condition.
1 Coverage is based on the terms and limits of your benefit plan. Not all plans may have the PCM program review. For plans that do not have the PCM review, members can call the number on their Member ID card to speak to a pharmacist. See your plan materials for details.
Note: As of Jan. 1, 2020, pharmacists can bill you for professional services (not for dispensing drugs). Services include in-depth consultations. These services would be covered under your medical benefits. The amount you pay would be the same as seeing a specialist, based on your benefits.
Prime Therapeutics LLC provides pharmacy benefit management services for Blue Cross and Blue Shield of Montana. Blue Cross and Blue Shield of Montana, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics LLC. MyPrime.com is a pharmacy benefit website owned and operated by Prime Therapeutics LLC, a separate company providing pharmacy benefit management services for your plan.