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New Prescription & Pharmacy Benefits

Are you a new Blue Cross and Blue Shield of Montana member? If you have your member ID card, you can sign up for Blue Access for Members℠ now.

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Don't Have Your Plan Details Yet?

If you are waiting for your BCBSMT group pharmacy coverage to start, you can still explore some key features of your new benefits, how to fill your prescriptions and more.

Prescription Drugs Covered by Your Plan

Drugs on your new prescription drug list, also known as a formulary, are chosen based on their safety, cost and how well they work. While doctors should prescribe drugs on the continually updated list, treatment decisions are between you and your doctor.

You get the best results about covered medications when you log in to your member account. Simply use the drug finder tool. 

You can find covered prescription drugs without logging into your member account by searching as a guest on MyPrime.com. You’ll need to choose your drug list before you search. If you’re not sure the name of the drug list, you can call the number on your member ID card.

Filling Your Prescriptions

There are many ways to get the medications you need with different types of pharmacies in your network. They include national retail chains, local neighborhood drugstores, independent and other specialized pharmacies. You can even have some medications shipped to your home for free.

If you want to check that your pharmacy is in network, or are looking for a new one, you can find a pharmacy when you log in to your member account.

To find a network pharmacy without logging into your member account, you can search as a guest on MyPrime.com. The Traditional Select Network defaults. You may need to change your pharmacy network before you search. If you’re not sure the name of your pharmacy network, you can call the number on your member ID card.

Next Steps

  • Talk to your health care provider about the choices you have with your prescription drugs. There may be an alternative that is covered, or one at a lower cost.
  • If your drug is not covered on your new prescription drug list, your provider may submit a drug list coverage exception, unless you have a benefit exclusion. Once your coverage starts, your provider, yourself or a caregiver, can complete the form or call the number on your member ID card to start the process. You and your provider will be told if the request is approved or denied.
  • Be sure to check if your drug has any extra steps to take before it may be covered, such as prior authorization. Your provider may need to submit requests to us before coverage is approved.
  • Learn more about prescription drug coverage or get answers to health insurance questions.
  • Once you have your member ID card, sign up for your BAM℠ member account or go mobile with the BCBSMT App.

Prime Therapeutics LLC is a separate company contracted by Blue Cross and Blue Shield of Montana to provide pharmacy solutions. 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 offered by Prime Therapeutics LLC.