Drug Coverage

Preferred Drug List

Your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes prescription drug coverage. This plan goes by a list of approved drugs from the New Mexico Health Care Authority (HCA). The list is called a "preferred drug list" or "drug formulary." BCBSNM will pay for medicines on this list.

The Preferred Drug List includes both brand name and generic drugs. Generics have the same active ingredients as brand name drugs. Generic drugs usually cost less than brand name drugs. Generics are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

Check our Preferred Drug List below to see if your prescriptions are covered. Certain drugs on the list need approval ("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.

Do you need a printed copy of the Preferred Drug List? Call Member Services at 1-866-689-1523 (TTY: 711) and we will mail it to you.

Refer to the Preferred Drug List and your Member Handbook for more details about Rx coverage.

* This file is large and download time may take a while. Internet speed, browser and computer hardware may impact your download time. The file has been compressed and provided in a ZIP format. Click on the link above to download and save the ZIP file to your computer. To unzip the file: Click on the ZIP file and you will have an option to unzip or extract. Follow the instructions. The process will create a new folder with the contents of the ZIP file (the full machine-readable file). Depending on your operating system, you may need to download a tool to open (un-zip) the file. There are tools available on the internet; some are at no cost.

Pharmacies

BCBSNM contracts with most pharmacies. You must get your drugs at a contracted retail pharmacy. Locate one of these pharmacies using the link below. You can also call Member Services at 1-866-689-1523 to find a pharmacy close to you. Be sure to give your BCBSNM member ID card to the pharmacist at the time of purchase to receive benefits.

Look up pharmacies in the printable pharmacy directory
 

Drug FAQs

Check out Frequently Asked Questions about drug coverage

Generic Drugs

Get answers to your questions about generic drugs.

Learn How Your Plan Works

Review the Member Handbook for details about plan benefits.

Plan FAQs

Find answers to Frequently Asked Questions about this health plan.