Pharmacy & Prescription Drugs

For a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and BCBSAZ Advantage’s formulary

Provider Directories

Request a hard copy of any directory listed below

List of the drugs covered, quantity limits, and mail order information.

Getting My Drugs Covered by the Plan, Finding Alternatives, and Appeals

  • Prescription Drug Claim Form - Part D
    Use this form to submit a claim for purchased drugs covered by Medicare Part D
  • Prescription Drug Claim Form
  • Coverage Determinations (Prior Authorization or Exceptions)
    Use these forms to request a coverage decision (sometimes called a prior authorization or exception) for a drug if your health care provider or pharmacist tells you that we will not cover a prescription drug that is in your treatment plan.