Prescription Drug References for Members
- Prescription Drug References for MembersOpen a PDF
- Step Therapy Forms:
- Prior Authorization Forms for Drugs Covered Under Medicare Part D:
- Additional Forms:
Excellus BlueCross BlueShield contracts with the Federal Government and is an HMO plan and PPO plan with a Medicare contract. Enrollment in Excellus BlueCross BlueShield depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. .
This page last updated .