Be RxSmart

Our be RxSmart prescription drug benefit is designed to educate our Members on the opportunities to save by practicing healthy lifestyle habits and using generics and low-cost alternatives to brand name medications. A large number of prescription drugs lost patent protection, creating even more opportunities to save on drug costs. Network Providers can find a list of recent changes to the prescription drug formula in their myBlue Provider account. If you are not a Network Provider, please visit the Out of State and Non-Network Rx Medication Search page.

Medical Drug Formulary

Our Medical Drug Formulary is designed to educate our Providers on the availability of drug coverage in a medical setting. This functionality allows Providers to view coverage status of drugs administered in a medical setting for BCBSMS Members. Network Providers can find Medical Drug Coverage on myBlue Provider. Non-Network and Out-of-State providers can find medical drug coverage details by entering the drug name, NDC, or procedure code on this Medical Drug Formulary search page.

Find Cost-Effective Alternatives

Members can search for lower-cost alternatives to brand name medications using their myBlue account. Discuss generic and other low-cost alternatives with them to help them get the most cost-effective and medically effective prescription drugs. Network Providers can use myBlue Provider to check Member benefits, including prescription drug benefits. Non-Network and Out-of-State Providers can find a Member's specific prescription drug formulary details by entering the Member ID and the Provider's NPI on this prescription drug search page.

Prior Authorization Requests and Quantity Limits

Some prescription drugs require prior authorization to help ensure the most cost-effective and medically necessary medication is used to help our Members.

Quantity limits are based on manufacturer and U.S. FDA recommendations, as well as accepted medical practices. Limits help control prescription drug dosing and duration while minimizing the potential for adverse events. Medication details regarding benefits related to prior authorization and quantity limits are available through myBlue Provider or the Prior Authorization Information page.

Our Services

Our Pharmacy Support Team is available to answer your questions Monday through Friday, 8:00 a.m. to 4:30 p.m. at 601-664-4998 or 800-551-5258.