Blue Cross: Pharmacy Benefit Drugs
Some drugs require prior authorization before they can be dispensed to a Blue Cross commercial Medicare Plus Blue℠ member.
This page offers resources for providers requesting prior authorization or an exception from other utilization management requirements for drugs covered under the pharmacy benefit.
Need additional assistance?
Here's who you can call:
- For questions about utilization management requirements, call the Blue Cross / BCN Pharmacy Clinical Help Desk at 1-800-437-3803
- For questions about the CoverMyMeds web tool, call the CoverMyMeds support center at 1-866-452-5017
Alternate methods for submitting prior authorization requests
If you’re experiencing temporary technical problems (such as a power or internet outage) that prevent you from submitting prior authorization requests through an ePA tool, submit prior authorization requests to Blue Cross or BCN using one of the following methods:
- For Blue Cross commercial members, fax to 1-866-601-4425
- For Medicare Plus Blue members, fax to 1-866-601-4428
- Call the Blue Cross and BCN Pharmacy Clinical Help Desk at 1-800-437-3803
- For Blue Cross commercial members only, mail the request to:
BCBSM Clinical Help Desk
P.O. Box 312320
Detroit, MI 48231-2320
Frequently accessed documents
Additional resources
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