Members

Getting Your Prescription Drugs

Save Time & Money Filling Covered Drugs

As a Blue Advantage member, you can use these money and time-saving tips – like a three-month supply – to make getting your prescriptions easier!

Three-Month Supply

You can get a three-month supply of most drugs, such as those used to treat high blood pressure, diabetes or high cholesterol. This is an easy way to make sure you always have your medicine on hand. Plus, a three-month supply may save money on your preferred generics!

To fill a three-month supply, you may need a new prescription. Ask your doctor to order a three-month supply of the drug or have the pharmacy reach out to your doctor for you.

Mail-Order Pharmacy

When you use Express Scripts® Pharmacy, your prescription can be mailed directly to your door. Plus, you pay nothing for standard shipping. Express Scripts® Pharmacy is the preferred mail-order pharmacy in your network, so you will pay less for drugs on Tiers 1 through 3.

  1. Call Express Scripts Pharmacy at 1-800-282-2881 (24 hours a day, 7 days a week). TTY users should call 1-800-759-1089.
  2. Use the Express Scripts mobile app
  3. Click the button below

Register for Mail-Order Delivery

Preferred Pharmacy Network

The Blue Advantage pharmacy network includes a group of participating pharmacies that offer preferred cost-sharing for your Medicare Part D prescriptions. That means you may pay less for your medication when you choose a preferred pharmacy. You can still use a non-preferred pharmacy, but you’ll pay more for Tiers 1 – 3 drugs.

There are hundreds of preferred pharmacies available across the state, including Walgreens, Walmart and many independent pharmacies. Plus, Express Scripts* mail-order pharmacy is also included.

Find a Pharmacy

Drug Transition Supply Policy

Under certain circumstances, you may be able to get a temporary supply of a drug when your drug is not on the Drug List or when it is restricted in some way. This gives you time to talk with your provider about your options. To be eligible for a temporary supply, you must meet the two requirements below:

  1. The change to your drug coverage must be ONE of the following types of changes:
    • The drug you have been taking is no longer in the formulary
    • The drug you have been taking is now restricted in some way
  2. You must be in ONE of the situations described below:
    • Members who are new or who were in the plan last year and aren’t in a long-term care (LTC) facility: We will cover a temporary supply of your drug during the first 90 days of your membership in the plan if you were new and during the first 90 days of the calendar year if you were in the plan last year. This temporary supply will be for a maximum of a 30-day supply. If your prescription is written for fewer days, we will allow multiple fills to provide up to a maximum of a 30-day supply of medication. The prescription must be filled at a network pharmacy.
    • Members who are new or who were in the plan last year and reside in a long-term care (LTC) facility: We will cover a temporary supply of your drug during the first 90 days of your membership in the plan if you are new and during the first 90 days of the calendar year if you were in the plan last year. The total supply will be for a maximum of a 98-day supply. If your prescription is written for fewer days, we will allow multiple fills to provide up to a maximum of a 98-day supply of medication. The long-term care pharmacy may provide the drug in smaller amounts at a time to prevent waste.
    • Members who have been in the plan for more than 90 days and reside in a long-term care (LTC) facility and need a supply right away: We will cover one 31-day supply of a particular drug, or less if your prescription is written for fewer days. This is in addition to the above long-term care transition supply.

Getting Extra Help Paying for Prescriptions

Low Income Subsidy Premiums Available

People with limited incomes may qualify for "Extra Help" to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, copays and/or coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty.

Many people are eligible for these savings and don’t even know it. For more information about this "Extra Help," contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

To find out more about Medicaid and its programs, contact:

Louisiana Department of Health
P.O. Box 629
Baton Rouge, LA. 70821-0629
Phone: 1-888-342-6207 ldh.la.gov/subhome/1

Rx Savings Solutions

Blue Advantage works with Rx Savings Solutions (RxSS) to help you find the lowest-price options for your prescription medications. This service is linked to your health plan, so everything is personalized for your medications and insurance. Activate your account or log in by clicking the button below or by calling 1-800-268-4476.

Go to Dashboard

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.

Find out more 

Prescription Support Programs

We know that taking your 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.

Find out more 

Special 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.

Rx Savings Solutions is an independent company that provides retail prescription drug cost information to many members of Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Louisiana HMO.

We're always happy to help!

Just a Phone Call Away

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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