Drug Coverage
Preferred Drug List
Your Blue Cross and Blue Shield of New Mexico plan includes prescription drug coverage. This plan goes by a list of approved drugs from the New Mexico Health Care Authority (HCA). The list is called a "preferred drug list" or "drug formulary." BCBSNM will pay for medicines on this list.
The Preferred Drug List includes both brand name and generic drugs. Generics have the same active ingredients as brand name drugs. Generic drugs usually cost less than brand name drugs. Generics are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.
Check our Preferred Drug List below to see if your prescriptions are covered. Certain drugs on the list need approval ("prior authorization"). Your doctor will need to send BCBSNM a request before these drugs can be prescribed. If your doctor wants you to have a drug that is not on the list, he or she can send a request for approval to BCBSNM.
Do you need a printed copy of the Preferred Drug List? Call Member Services at 1-866-689-1523 (TTY/TDD: 711) and we will mail it to you.
Refer to the Preferred Drug List and your for more details about Rx coverage.
Note: BCBSNM does not cover cannabis. Cannabis comes from the cannabis plant. It has delta-9-tetrahydrocannabinol (THC) as an active ingredient. Cannabis may be called marijuana. BCBSNM does not cover cannabis in any form. This includes:
- Plant seeds
- Extracted resin
- Salt or other derivative
- Any mixture or preparation of cannabis-derived compounds
Find a Pharmacy
By Phone
We are available 24 hours a day, 7 days a week. The call is free. Members with hearing or speech loss can call the TTY/TDD line at 711.
Call 1-866-689-1523
Download the Directory
Download a print version. This is a large file so it may take longer to download.
Pharmacy DirectoryHome Delivery (Mail-Order Service)
Do you take certain medicines on a regular basis? You can order the drugs that you take long-term or every day from home and have them delivered.
The mail-order service offers:
- Up to a 90-day supply at one time
- A notice when your order is received and when your prescription is sent (by email or over the phone, whichever you prefer)
- Three ways to order refills: online, by phone or through the mail
Please keep in mind that you must use the Preferred Drug List for a prescription to be covered.
Rx Resources
Frequently Asked Questions
Go to FAQs
Learn About Generic Drugs
Learn MoreDownload Rx Forms
- – Keep a record of your medicines to share with your doctor.
- – Complete this form to submit a claim for a prescription. You must submit the original pharmacy receipt with the form.
- – Use this form to mail order new or refill prescription maintenance medication. Mail the completed form to the address on the form. You must include the original prescription signed by your doctor.
- – To begin your prior authorization request, print this form. Your doctor will need to fill out the form, sign it, and return it to BCBSNM.
* This file is large and download time may take a while. Internet speed, browser and computer hardware may impact your download time. The file has been compressed and provided in a ZIP format. Click on the link above to download and save the ZIP file to your computer. To unzip the file: Click on the ZIP file and you will have an option to unzip or extract. Follow the instructions. The process will create a new folder with the contents of the ZIP file (the full machine-readable file). Depending on your operating system, you may need to download a tool to open (un-zip) the file. There are tools available on the internet; some are at no cost.
Prime Therapeutics LLC is a separate company contracted by Blue Cross and Blue Shield of New Mexico to provide pharmacy solutions. Blue Cross and Blue Shield of New Mexico, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics LLC. MyPrime.com is a pharmacy benefit website offered by Prime Therapeutics LLC.