Prescription Coverage Overview
The CareFirst BlueCross BlueShield Advantage DualPrime (HMO-SNP) plan includes prescription drug coverage—also known as Medicare Part D. The plan groups each drug into tiers. The amount you pay depends on the tier the drug is in and the amount of extra help you get from Medicaid. In other words, Medicare helps pay for your prescription drug costs while Medicaid helps reduce your copays.
Your Prescriptions, Your Way
Did you know you can get your prescriptions delivered directly to your door at no extra cost? In some cases, getting your prescriptions sent to you can actually save you money. And for certain medications, you can get extended refills for as many as 100 days.
How to Find a Network Pharmacy
DualPrime has a nationwide network of pharmacies, so chances are there's one near you! CareFirst partners with CVS Health—our pharmacy benefits manager—to find pharmacies that equal or exceed the Center for Medicare & Medicaid Services (CMS) requirements for pharmacy access in your area. To find a participating pharmacy near you, use the Pharmacy Locator Tool or search our downloadable Pharmacy Directory below.
Since the network can change from year to year, accessing the Pharmacy Locator Tool is a great way to keep current on all the in-network pharmacies. You can use this Pharmacy Locator Tool to locate a network pharmacy.
To determine if your pharmacy is in the network, you can call our Medicare Part D Member Services line at 844-786-6762, 24 hours a day, 7 days a week. TTY users, please call 711.
If you would like to be mailed a hard copy of the pharmacy directory or need help finding a network pharmacy, please call member services at: 844-331-6334 (TTY: 711)
Search for Your Medications
Use the 2024 Formulary Search Tool to find out if your prescription is covered.
Search Covered MedicationsMail Order Pharmacy
You can get certain prescription drugs shipped to your home through the network mail-order delivery program. Your prescription will arrive with 10 days. Refer to your Evidence of Coverage (EOC) for more information.
More Information
What If My Drug Isn’t Covered?
If you don’t find your prescription listed on our formulary, please call Member Services at 844-786-6762 (TTY: 711). They’re available 24 hours a day, seven days a week.