Prescription Drugs

Prescription drug coverage for retirees

Your Blue Cross and Blue Shield of New Mexico (BCBSNM) health plan includes a prescription drug benefit administered by Prime Therapeutics. The cost of the prescription drug plan is included in your medical premiums.

Coverage

• The co-pays for prescription drugs are based on a 3-tier prescription drug benefit.
• Co-payments are different for formulary or non-formulary, generic, or brand/preferred name.
• Review the BCBSNM Drug List (pdf) to find out which tier a specific drug falls under.

Co-pays

Prescription drug co-pays vary from plan to plan.

Plans for active employees and retirees without medicare

• PPO Plan Summary of Benefits and Coverage for Active Employees and Retirees without Medicare (pdf)
• High Deductible Health Plan (HDHP) summary of Benefits and Coverage for Active Employees and Retirees without Medicare (pdf)

Plans for retirees with medicare

• National EPO Plan Summary of Benefits and Coverage for Retirees with Medicare (pdf)
• National PPO Plan Summary of Benefits and Coverage for Retirees with Medicare (pdf)
• National Medicare Supplement Summary of Benefits (pdf)

Mail order prescriptions

Prime Therapeutics prescription drug benefit also includes an option for mail order prescription services called PrimeMail.

Order by mail: PrimeMail

A prescription written for a three-month supply of the medication is required in order to use the PrimeMail services.