Manage Medications
You have access to the valuable information you need to comfortably and confidently manage your prescription drug purchases.
Each health plan includes a list of covered medications, also called a prescription drug list (PDL). The drug list is divided into tiers, as shown in the example below. The number of tiers may vary by plan and the cost for each 30-day supply of a covered prescription drug depends on the tier in which the medication is listed. To view the drug tiers for your specific plan, visit myNebraskaBlue.com.
Your plan provides higher savings for prescriptions filled at in-network pharmacies. You will want to consider your network, along with your plan's drug tiers, to get the best value. You can also use Amazon Pharmacy home delivery mail service for a 90-day supply of your maintenance medications. For a list of in-network pharmacies, visit myNebraskaBlue.com and click on Pharmacy Benefits.
You can save money by choosing a generic medication from your plan's prescription drug list. To find your plan's prescription drug list, visit myNebraskaBlue.com and click on Pharmacy Benefits or call the Member Services number on the back of your member ID card.
Pharmacy RESOURCES
Find a Pharmacy
You have access to the pharmacies with our pharmacy benefit manager, Prime Therapeutics. Find in-network pharmacies and search for covered medications.Home Delivery
Have your prescriptions delivered directly to your home by filling through Amazon Pharmacy.Prescription Drug Lists
Make sure you are taking medications that are safe, effective and reasonably priced by referencing them on your specific prescription drug list.Amazon Pharmacy
With Amazon Pharmacy you can have your long-term medications delivered to your home with access to MedsYourWay™ discount card pricing.
You’ll see the lowest price and, depending on your plan, pricing options for covered medicines may count toward your out-of-pocket maximum.
With Amazon Pharmacy, you will enjoy the following benefits and features:
- Mobile app or computer access to your account
- Shop the lowest price, whether that’s your insurance copay, coinsurance or MedsYourWay discount card pricing
- Track the progress of your prescription fulfillment and delivery
- Receive prescriptions in discreet, tamper-resistant packaging
- Free standard, five-day shipping (two-day for Amazon Prime members)
- Manage your medications and view your order history
- Works with your health insurance plan and doctors to get prescriptions filled so you don’t have to
- Talk to a pharmacist 24/7/365
To sign up for Amazon Pharmacy home delivery, visit Amazon.com/NebraskaMYW.
Drugs administered in an Outpatient Setting
Under some of our plans, benefits for certain prescription drugs and covered services administered in an outpatient setting are now available only under a prescription drug plan, not your medical plan. Examples of an outpatient setting include a home health care agency, physician’s office, outpatient hospital or other outpatient facility. To find out if this applies under your plan, please contact our Member Services Department at the number shown on the back of your member ID card.
These drugs and covered services include some of the following: oral medication, intravenous solutions, biologicals and medicines. This provision does not affect drugs like allergy injections or pain medications you may receive in an outpatient setting. It only affects some high-dollar drugs that should be purchased through a specialty or in-network pharmacy. For more information or to see an example of this program, please read Important Information Regarding Drugs Administered in an Outpatient Setting.
Benefits for the following drugs are only available if the drugs are purchased through a specialty or in-network pharmacy. Review the list of the prescription drugs and covered services for which benefits may be available only under a Rx Nebraska Prescription Drug Program.
Benefits for certain prescription drugs and covered services administered in an outpatient setting are available only under your prescription drug plan. These benefits are not available under your medical plan. Examples of an outpatient setting include a home health care agency, physician’s office, outpatient hospital or other outpatient facility.
Benefits for the following drugs are only available if the drugs are purchased through an in-network pharmacy
Abrilada
Actimmune
Adalimumab-Aacf
Adalimumab-Aaty
Adalimumab-Adbm
Adalimumab-Fkjp
Adalimumab-Ryvk
Advate Rahf-Pfm
Adynovate
Adzynma
Afinitor
Afstyla
Aldurazyme
Alkeran
Alphanate
Alphanine Sd
Alprolix
Altuviio
Amevive
Antihemophilic Factor Human Method M Monoclonal Purified
Arcalyst
Autoplex T
Avonex
Benefix
Berinert
Betaseron
Cablivi
Ceredase
Cerezyme
Cesamet
Cinryze
Copaxone
Crysvita
Cyltezo
Cytoxan
Dostinex
Elaprase
Elelyso
Eloctate
Emend
Enbrel
Evomela
Extavia
Fabrazyme
Factor Ix+Complex
Feiba Vh Aicc
Firazyr
Forteo
Furoscix
Fuzeon
Genotropin
Glatiramer Acetate
G-Lumizyme
Haegarda
Helixate Fx
Hemady
Hemofil M
Hercessi
Hulio
Humate-P
Humatrope
Humira
Hyate
Hycamtin
Icatibant
Idacio
Idelvion
Ilaris
Ilumya
Increlex
Intron A
Intron A Multidose Pen
Iressa
Jesduvroq
Jivi
Kalbitor
Kanuma
Koate-Dvi
Kogenate Fs
Konyne-80
Kovaltry
Lumizyme
Makena
Monoclate-P
Mononine
Myozyme
Naglazyme
Nexviazyme
Norditropin
Novoeight
Novoseven
Novoseven Rt
Nutropin/Nutropin Aq
Octreotide
Oforta
Omnitrope
Pegasys
Peg-Intron
Plegridy
Profilnine Sd
Proplex T
Pulmozyme
Pyzchiva
Rebif
Rebinyn
Recombinate
Rixubis
Ruconest
Saizen
Sandostatin
Selarsdi
Serostim
Sevenfact
Simlandi
Supprelin La
Takhzyro
Temodar
Tobi
Tyvaso
Ustekinumab-Ttwe
Vepesid
Vimizim
Vonvendi
Vowst
Vpriv
Wilate
Xeloda
Xenpozyme
Xyntha
Yuflyma
Zorbtive
Zortress
IMPORTANT: This list may be updated at any time without notice. Please be aware that including a medication on this list does not ensure coverage.
Specialty Drug Benefits
Our Specialty Drug Benefit program provides a convenient, cost-effective way for you to order specialty medications for delivery directly to your home or physician’s office. Specialty medications are typically self-administered injectable drugs used to treat serious or chronic medical conditions such as multiple sclerosis, hemophilia, hepatitis and rheumatoid arthritis. Our Specialty Pharmacy Program Drug List outlines the products designated as specialty medications.
To receive benefits under your BCBSNE prescription drug plan, members may purchase their specialty medications through one of the following specialty pharmacies:
| Pharmacy Name |
Phone Number |
| Accredo |
833-715-0973 |
| CVS Specialty Pharmacy |
800-237-2767 |
| IVX Specialty Pharmacy |
855-257-2584 |
| Prime Therapeutics Pharmacy |
866-554-2673 |
| Senderra Rx Pharmacy |
888-777-5547 |
| The Nebraska Medical Center Specialty Pharmacy |
855-299-9283 |
For questions about your prescriptions, please contact your doctor. For questions regarding your prescription coverage, please call the Member Services number on the back of your ID card.
