Our pharmacy benefit offers many convenient services including a mail-order option.
Prescription drug coverage is important to your health. Premera’s pharmacy benefit is designed to help you get the medicine you need—while saving you money whenever possible. Pharmacy benefits are coordinated through our partner, Express Scripts.
For the most accurate information, log in and search for your specific drug. You can find out if it's covered, how much it costs, and whether it requires pre-approval from your healthcare provider.
For the most accurate information,log in and search for your specific drug.
There are hundreds of different medications, with more becoming available every day. We require that you obtain preapproval from us for medications in 3 cases:
If you don't obtain pre-approval, the medication may cost more, or we may not cover it. You can search for your drug and see if requires your doctor or healthcare provider to submit a pre-approval form.
There are 3 common reasons the cost of your prescription may increase:
To receive the highest coverage under your plan's prescription benefit, use a pharmacy that's part of the Premera network. There are more than 60,000 in-network pharmacy locations nationwide. Log in and find a participating pharmacy using our provider directory, or call the 24-hour pharmacy locator number on the back of your member ID card.
Learn more about in-network care.
You can also use our in-network prescription mail-order service.
Yes. Mail order offers maximum convenience and value through Express Scripts® Home Delivery Pharmacy. There's an easy 2-step process to start receiving your prescriptions through the mail:
You'll receive your prescription by mail delivered in sealed, insulated (when necessary), and tamper-evident packaging. Refill prescriptions can then be ordered easily online through Express Scripts MyPharmacyPlus™ once you've set up your prescriptions. Or, you can call Express Scripts at 800-391-9701. Have your member ID and prescription numbers ready.
Note: Mail order delivery can take up to 2 weeks, so be sure you have enough medication on hand. If you need your medication sooner, ask your doctor for another prescription for a 1-month supply, and fill it at a local pharmacy that's in-network.
We offer certain preventive services, including prescription drugs at no cost to you. This means you don't have to pay coinsurance, even if you haven't met your deductible. (Typically, you start paying coinsurance after you pay your deductible.) To have the drug covered under your health plan, your doctor must write a prescription for the medication.
If you're going to be traveling, you can receive additional fills of your prescriptions by inquiring directly with your pharmacist or pharmacy. We'll work with them to get you authorized for the extra medication to ensure you can continue with the care you need.
When you have paid a pharmacy full price for a prescription drug because you didn't have your Premera member ID card at the time of purchase, you can submit a prescription drug reimbursement form.
In general, specialty drugs are medications that are biological, or derived from living cells. They're typically injectable or infused through a vein, although some are also taken by mouth. These drugs are used to treat complex or rare conditions such as cancer, rheumatoid arthritis, hepatitis, or multiple sclerosis. Look in the list of specialty drugs here.
Some health plans require that you use preferred specialty pharmacies to fill your specialty drug prescription. Premera's preferred specialty pharmacies are:
Accredo, an Express Scripts specialty pharmacy
Walgreens Specialty Pharmacy
Your pharmacy benefit may require you to use our preferred specialty pharmacies to fill your specialty medications. View the Specialty Drug List to see if this applies to your medication. Log in to your Premera account and consult your benefit guide to learn if your plan requires the use of preferred specialty pharmacies.
Specialty pharmacies work closely with you and your healthcare provider to ensure you get the most from your treatment. Specialty pharmacies may do the following:
There are many different drug benefit options with our plans. Find out more in our pharmacy benefit guide.
Express Scripts is an independent company providing online prescription and pharmacy services to Premera Blue Cross and Premera Blue Cross Blue Shield of Alaska members.
Create an account with Express Scripts to manage your Premera pharmacy benefits.