UNMH Standard and Extended Options include prescription drug coverage for generic, brand-name, and specialty medications.
Your copayment for prescription drugs is based on whether the drug you receive is a generic or a brand-name drug AND whether the drug is on the BCBSNM Drug List. See your Benefit Booklet or Summary for details, limitations, and exclusions.
| Type of Prescription | Copay Level | Retail Pharmacy 30-day supply – You pay: |
Mail-Order 90-day supply – You pay: |
| Generic drugs | Tier 1 | $10 | $20 |
| Brand-name drugs | Tier 2 | $35 | $70 |
| Brand-name drugs not on Drug List | Tier 3 | $60 | $120 |
| Specialty drugs* | Tier 4 | N/A* | N/A* |
*Specialty medications require prior authorization; these drugs cannot be obtained through the PrimeMail Pharmacy Program, our prescription drug mail-order service. Specialty medications must be acquired through a participating specialty pharmacy in order to be covered; for a 30-day supply you will pay $250 or 20%, whichever is less.
Learn more about BCBSNM prescription drug benefits and the Specialty Pharmacy Program.
Log in to Blue Access® for Members to access your secure Prime Therapeutics account to order prescriptions online via the PrimeMail prescription mail-order service, view your prescription history, research medications, locate pharmacies, and more.
If you have any questions about your prescription drug benefits, call Customer Service at the toll-free number on the back of your BCBSNM member ID card.
