How Drug Benefits Work

Getting prescription medications is simple. The following is a brief overview of a standard pharmacy benefits plan.

  • Visit a participating pharmacy with your prescription and your BCBSNC ID card.
  • A copayment or coinsurance amount is required for a prescription, unless the copayment or coinsurance is waived. Copayments are the amounts paid for each prescription. Copayments or coinsurance are determined by the tier classification for a medication.
  • Claims are filed electronically. No paperwork is required.

For more information on pharmacy benefits, register with Member Services or call 1-877-258-3334.