Prescription Drug Benefits

Search Drug List &
Find a Pharmacy

The BlueSalud Plan includes Rx benefits. These are administered by a pharmacy benefits manager (PBM). Prime Therapeutics* is the PBM for BCBSNM plans.

Visit Prime Therapeutics to:

• Search for prescription drugs
• Find a pharmacy
• Order refills online
• View formulary status
• Download forms and brochures

BCBSNM Drug List

BCBSNM goes by a list of approved drugs. The list is called a "drug formulary" or "drug list." The list is created by a group of providers and pharmacists. BCBSNM will pay for medicines on this list.

• Drug List – Therapeutic Class with Alphabetical Index –
English   Spanish 

•Drug List Updates 

• Specialty Pharmacy Drug List –
English   Spanish 

• Drug List Limitations, Exclusions, and Prior Authorization Criteria 

Certain drugs on the list need prior authorization. Your doctor will need to send BCBSNM a request before these drugs can be prescribed. If your doctor wants you to have a drug that is not on the list, he or she can send a request for approval to BCBSNM.

Pharmacies

BCBSNM contracts with most pharmacies. You must get your drugs at a contracted pharmacy. Locate one of these pharmacies using the links below. You can also call Customer Service at 1-866-689-1523 to find a pharmacy close to you.

• Find a Pharmacy (online search)

• Look up pharmacies in the printable provider directory 

News and Updates

• Be Smart. Be Well. – a Wellness Web Site – Learn about Drug Safety

Rx Drug Resources

• Frequently Asked Questions

• Learn About Generic Drugs

• Free Diabetes Glucose Meter

Download Rx Forms

• Patient Medication List Form – Keep a record of your medications to share with your doctor – English   Spanish 

• PrimeMail Rx Mail-Order Flyer – English   Spanish 

• PrimeMail Rx Mail-Order Form – English   Spanish 

• Medicaid Prescription Drug Claim Form 

Contact Us

For more information about BCBSNM Medicaid Rx drug benefits:

• Members – call 1-866-689-1523

• Providers – call 1-888-349-3706