Medicare Advantage Prescription Drug Coverage
CareFirst BlueCross BlueShield Medicare Advantage provides comprehensive prescription drug coverage with NO annual deductible.
Are you eligible for Medicare and Medicaid?
CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP)
Resource information for our CareFirst BlueCross BlueShield Advantage DualPrime plan can be found here.
Search for Your Prescriptions
Find out if your prescription is covered.
Complete and Essential Plans
2025 Drug Cost Day Supply
| CareFirst BlueCross BlueShield Advantage Complete & Essential (PPO) |
|||
|---|---|---|---|
| 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 |
| Tier 2 - Generic | $10.00 | $10.00 | $10.00 |
| Tier 3 - Preferred Brand | $47.00 | $47.00 mail $94.00 retail |
$47.00 mail $141.00 retail |
| Tier 4 - Non-Preferred Drug |
40% of the total cost | 40% of the total cost | 40% of the total cost |
| Tier 5 - Specialty | 33% of the total cost | Not Available | Not Available |
Members are eligible to receive 100-day supplies of their tier 1, tier 2 and tier 3 medications.
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.
2026 Drug Cost Day Supply
| CareFirst BlueCross BlueShield Advantage Complete (PPO) | |||
|---|---|---|---|
| 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 |
| Tier 2 - Generic | $5.00 | $5.00 mail $10.00 retail |
$5.00 mail $15.00 retail |
| Tier 3 - Preferred Brand | $47.00 | $47.00 mail $94.00 retail |
$47.00 mail $141.00 retail |
| Tier 4 - Non-Preferred Drug |
40% of the total cost | 40% of the total cost | 40% of the total cost |
| Tier 5 - Specialty | 33% of the total cost | Not Available | Not Available |
| CareFirst BlueCross BlueShield Advantage Essential (PPO) | |||
|---|---|---|---|
| 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 |
| Tier 2 - Generic | $5.00 | $5.00 mail $10.00 retail |
$5.00 mail $15.00 retail |
| Tier 3 - Essential plan |
20% of the total cost | 20% of the total cost | 20% of the total cost |
| Tier 4 - Non-Preferred Drug |
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 |
Members are eligible to receive 100-day supplies of their tier 1, tier 2 and tier 3 medications.
For more on 2026 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 Network
You’ll have access to a robust set of 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 Save
You may save 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 or 100 day supply 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.
