Blue MedicareRx Transition Policy

In certain situations, you may be able to get a temporary (transition) one-month supply of your prescription drug, even if it’s not covered on our drug list or if its use is restricted (e.g., prior authorization, quantity limit, step therapy). A transition supply can help give you time to work with your doctor to find a drug alternative, get a prior authorization or request a formulary exception.

Who may be eligible for a transition drug supply?

  • New members during the first 90 days in our plan
  • Members residing in a long-term care facility past the first 90 days of membership in our plan
  • Members who are negatively affected by a formulary change from one contract year to the next

Need more information?

Please review your Evidence of Coverage, the full transition policy or contact our Customer Service team.

If you feel you may be eligible for a temporary supply, contact our customer service team today.