Drug Information


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Prescription drug coverage is built into Blue Cross Medicare Advantage Dual Care (HMO SNP)SM. The drug list, also called a formulary, includes both brand name and generic drugs.

It will also tell you:

  • About your drug's co-payment
  • Whether limitations to coverage exist like:
    • Prior authorization
    • Quantity limits
    • Step therapy

Generic drugs:

You may save money by switching from brand drugs to generic drugs. These drugs:

  • Have the same active ingredient formula as brand name drugs
  • Usually cost less than brand name drugs
  • Are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs

Keep in mind, to receive your full pharmacy benefits, you should use:

  • Blue Cross Medicare AdvantageSM network pharmacies, including our home delivery pharmacy service, Primemail®* (except in an emergency). Using an out-of-network pharmacy may result in less than full reimbursement for out-of-pocket costs.
  • A preferred pharmacy which may result in lower member out-of-pocket cost.

Also, when using PrimeMail or our preferred network pharmacies, you may have the ability to:

  • Purchase a 90-day supply of a prescription drug
  • Pay only two and a half months of copays instead of three


Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

*PrimeMail is a registered mark of Prime Therapeutics LLC.
PrimeMail is offered by Prime Therapeutics LLC. Prime Therapeutics LLC is a separate company from Blue Cross and Blue Shield of New Mexico and provides pharmacy benefit management services for Blue Cross MedicareRx.