Drug Information

In your Blue Cross Community MMAI (Medicare-Medicaid Plan)SM prescription drug plan, drugs are placed into tiers. There are no co-pays for covered drugs.

  • Tier 1: Generic Drugs
  • Tier 2: Brand Name Drugs
  • Tier 3: Non-Medicare Rx and Over-the-Counter Drugs

The following table shows your costs for drugs in each of our 3 drug tiers. Their will be no co-pays for all covered drugs. You can use the Drug Finder tool to find the most up-to-date list of medicines covered.

Drug Tier  2019 Co-pay* Per Prescription 2020 Co-pay* Per Prescription 
Generic Drugs (Tier 1 and Tier 2) 
$0.00 or $1.25 or $3.40**
$0.00 
Brand Name Drugs (Tier 1 and Tier 2) 
$0.00 or $3.80 or $8.50**
$0.00 
Non-Medicare Rx and Over-the-Counter Drugs (Tier 3)
$0.00 
$0.00 

*Co-pay is for a one-month supply of each prescription that is filled at an in-network pharmacy.
**Your co-pay amount depended on your income and institutional status.