Members
We know that taking your prescription drugs as your doctor orders can mean better health outcomes for you. That’s why we offer you support to help you stay on track and stay healthy.
We may call to check on you when certain medications are refilled late or if you have been late refilling medications in the past.
You can also speak with a pharmacist who can help you overcome any barriers keeping you from getting and taking your medicine. The pharmacist can offer helpful tips, provide you with reminder tools or help transfer your prescriptions to mail order.
The Medication Therapy Management (MTM) Program is a service for members with multiple health conditions who also take multiple medicines. The MTM program helps you and your doctor make sure that your medicines are working to improve your health.
Blue Advantage determines eligibility monthly by looking at your pharmacy and medical claims. Once you qualify, you are automatically enrolled in the program for the rest of the calendar year.
To qualify for the 2025 MTM program, you must meet all three of the following criteria:
If you qualify, you will receive a letter with information on scheduling a 20 – 30-minute phone call for a detailed medication review. During that call, a pharmacist or pharmacy intern will complete a comprehensive medication review of your medicines and talk with you about:
Any questions or concerns about your prescription or over-the-counter medicines, such as drug safety and cost
Better understanding your medicines and how to take them
How to get the most benefit from your medicines
A summary will be mailed to you that includes a medication action plan with space for you to take notes or write down any follow-up questions. You will also receive a personal medication list of all the medicines you take and why you take them.
At least once every 3 months, your medications will be reviewed, and you or your doctor will be contacted about any possible changes in your medicines.
Now that you know how to get your prescription drugs more conveniently, you’re on the right path to maintaining and improving your health. Learn more by clicking on the tiles below!
View the Formulary & Utilization Management
View the formulary to know which drugs are covered by the plan and which may require utilization management, such as prior authorizations.
Getting Your Prescription Drugs
As a Blue Advantage member, you can use these money and time-saving tools – like a three-month supply – to make getting your prescriptions even easier!
Find out moreSpecial note: Some Blue Advantage (HMO) – Group Medicare Advantage plans do not offer preferred cost-sharing when you use a preferred pharmacy. You can still use a preferred pharmacy but may not pay less for your prescriptions than you would at a standard network pharmacy. If you are a Blue Advantage (HMO) – Group Medicare Advantage member, read your plan’s Benefit Documents to see if this applies to you.
Express Scripts is an independent company that serves as the pharmacy benefit manager for Blue Cross and Blue Shield of Louisiana.
Reach out to us for help or any questions you may have about your health care coverage and plan benefits.
Call us at: 1-866-508-7145 (TTY 711). Our phone lines are open 8 a.m. to 8 p.m., 7 days a week from October - March and 8 a.m. to 8 p.m., Monday - Friday from April - September
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