CareFirst BlueCross BlueShield Medicare Advantage provides comprehensive prescription drug coverage with NO annual deductible.
Resource information for our CareFirst BlueCross BlueShield Advantage DualPrime plan can be found here.
Find out if your prescription is covered.
| CareFirst BlueCross BlueShield Advantage Complete & Essential (PPO) |
CareFirst BlueCross BlueShield Advantage Core (HMO) | CareFirst BlueCross BlueShield Advantage Enhanced (HMO) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Copay for One-Month Supply | Copay for Two-Month Supply | Copay for Three-Month Supply* | Copay for One-Month Supply | Copay for Two-Month Supply | Copay for Three-Month Supply* | Copay for One-Month Supply | Copay for Two-Month Supply | Copay for Three-Month Supply* | |
| Tier 1 - Preferred Generic | $0.00 | $0.00 | $0.00 | $4.00 | 4.00 | $0.00 | $2.00 | $2.00 | $2.00 |
| Tier 2 - Generic | $10.00 | $10.00 | $10.00 | $20.00 | $20.00 | $20.00 | $15.00 | $15.00 | $15.00 |
| Tier 3 - Preferred Brand | $47.00 | $47.00 mail $94.00 retail |
$47.00 mail $141.00 retail |
$47.00 | $94.00 | $94.00 mail $141.00 retail |
$47.00 | $94.00 | $94.00 mail $141.00 retail |
| Tier 4 - Non-Preferred Drug |
40% of the total cost | 40% of the total cost | 40% of the total cost | 40% of the total cost | 40% of the total cost | 40% of the total cost | 40% of the total cost | 40% of the total cost | 40% of the total cost |
| Tier 5 - Specialty | 33% of the total cost | Not Available | Not Available | 33% of the total cost | Not Available | Not Available | 33% of the total cost | Not Available | Not Available |
For Complete and Essential, Members are eligible to receive 100-day supplies of their tier 1 and tier 2 medications for the same copay as a 30-day supply at retail and mail order settings. Additionally, members are eligible to receive 100-day supplies of their tier 3 medications for the same copay as a 30-day supply in mail order setting.
For more information on 2024 plans prescription drug costs, including prescription limitations and prior authorization requirements, see Chapters 5 and 6 of the Evidence of Coverage - Core or Evidence of Coverage - Enhanced.
For more on 2025 prescription drug costs, including prescription limitations and prior authorization requirements, see Chapters 5 and 6 of the Evidence of Coverage - Essential or Evidence of Coverage - Complete.
Our Pharmacy NetworkYou’ll have access to over 63,000 pharmacies nationwide.
Most major pharmacy chains and many independent pharmacies are part of our network, including CVS, Walmart, Safeway, Sam’s Club, Costco, Medicine Shoppe Pharmacy, Giant, Harris Teeter, Weis, and Wegmans.
Most residents of our service area live within two miles of a participating pharmacy, making refills even more convenient.
Sign Up for Mail Order Prescriptions and SaveSave money and time by refilling prescriptions online, by phone or through email with CVS Caremark Mail Service Pharmacy. Choose your delivery location and consult with pharmacists by phone 24/7. Sign up for a 90-day supply by mail, and you’ll only pay the cost of a 30-day supply for certain tiers. (Tier 5- Specialty drugs are not eligible for 60-day and 90-day supplies via mail order. Please refer to the Evidence of Coverage - Essential or Evidence of Coverage - Complete for more information.)
Mail Order Pharmacy Enrollment Form (PDF) This link will open in a new window.
