Drug List Updates
Blue Cross and Blue Shield of New Mexico (BCBSNM) and the Prime Therapeutics National Pharmacy and Therapeutics (P&T) Committee regularly meet to make formulary recommendations. Updates to the BCBSNM Preferred Drug List are listed by P&T Committee meeting date. To confirm the effective date of drug additions or deletions to the Drug List (including information on generic alternatives) please review the committee recommendations below.
Specialty Pharmacy Program
See section 14.6 of the Blues Provider Reference Manual for a description of the Specialty Pharmacy Program, preauthorization requirements, and additional specialty services.
Prior Authorization and Step Therapy
Prime Therapeutics, our pharmacy benefit manager, conducts all prior authorization and step therapy preauthorization requests from physicians for BCBSNM members with prescription drug coverage through Prime Therapeutics.
Dispensing (Quantity vs. Time) Limits
Dispensing limits help to minimize health risks and reduce overall costs. Learn more