As a Blue Cross Community Health PlansSM or Health Benefits for Immigrant Adults and Seniors plan member, you have coverage for selected generic prescriptions, brand name prescriptions, over-the-counter (OTC) drugs, and selected medical supplies.* Your plan uses a Preferred Drug List (PDL). The PDL is a list showing the drugs that can be covered by the plan.
As a member, you pay nothing ($0) for the items on the PDL. Those items will be covered as long as you:
- have a medical need for them
- have a prescription from your doctor for them
- fill the prescription at a network pharmacy
- follow the plan rules
Certain drugs on the list need prior authorization. Your doctor will need to request approval before these drugs can be prescribed. Without approval, the drugs are not covered. You can find out if your drug has any added conditions or limits by checking the PDL.
Note: BCBSIL does not cover cannabis. Cannabis comes from the cannabis plant. It has delta-9-tetrahydrocannabinol (THC) as an active ingredient. Cannabis may be called marijuana. BCBSIL does not cover cannabis in any form. This includes:
- Plant seeds
- Extracted resin
- Salt or other derivative
- Any mixture or preparation of cannabis-derived compounds
Pharmacies
As a member, you have access to a wide network of pharmacies in Illinois. You must get your medication at a network pharmacy, and you will receive up to a 30-day supply.