Pharmacy Programs

These pharmacy programs are available for members.

Prior Authorization/Step Therapy Program

The prior authorization/step therapy program is designed to encourage safe, cost-effective medication use.

This program may be part of your prescription drug benefit plan. To find out if your specific benefit plan includes the prior authorization/step therapy program, and which drugs are part of your plan, refer to your benefit materials, or call the number on the back of your ID card.

Prior Authorization

Under this program, your doctor will be required to request pre-approval, or prior authorization, through Blue Cross and Blue Shield of Oklahoma (BCBSOK) in order for you to get benefits for the select drugs.

Specialty Pharmacy Program

Specialty medications are those used to treat serious or chronic conditions. Examples include hepatitis C, hemophilia, cancer and multiple sclerosis. They often require careful adherence to treatment plans, have special handling or storage needs, and may only be stocked by select pharmacies. See the specialty pharmacy program member flier PDF Document for more information.

View the Specialty Pharmacy Program Drug List PDF Document, which includes a reminder about coverage for self-administered specialty medications.

A split fill program may apply to some specialty medications like select oral oncology (cancer) drugs. This program lets you try the medication first to make sure you can tolerate any potential side effects. You will get a partial fill of your prescription and only pay for what was filled (a prorated cost of your benefits).

Coverage benefits and requirements may vary based on your plan benefits. Call the number on your Member ID card if you have any questions.

Mail Service Program

AllianceRx Walgreens Prime, the mail service pharmacy for members with BCBSOK prescription drug coverage, provides safe, fast and cost-effective pharmacy services that can save you time and money. With this program, you can obtain up to a 90-day supply of long-term (or maintenance) medications through AllianceRx Walgreens Prime. Maintenance medications are those drugs you may take on an ongoing basis to treat conditions such as high cholesterol, high blood pressure or diabetes. View the Maintenance Drug List PDF Document to see if your medication is included.

Ordering Through ALLIANCERX Walgreens Prime

Getting Started Online
You have more than one option to fill or refill a prescription online or from a mobile device:

  • Visit alliancerxwp.com/home-delivery Learn more about third-party links. Follow the instructions to create a new account or sign in with your Walgreens.com username and password.
  • Log in to myprime.com Learn more about third-party links and follow the links to AllianceRx Walgreens Prime.
  • You can also continue to use your Walgreens.com account.

Order Over the Phone
Call 877-357-7463, 24/7, to refill, transfer a current prescription or get started with home delivery. Please have your member ID card, prescription information and your doctor's contact information available.

Through the Mail
To send a prescription order through the mail, log in to Blue Access for Members.  Complete the mail order form.  Mail your prescription, completed order form and payment to AllianceRx Walgreens Prime.

For more information about using mail service:

Vaccine Program

If you have coverage through Blue Cross and Blue Shield of Oklahoma, vaccinations may be part of the medical benefit or prescription drug benefit, based on your plan. These vaccines can help protect you from illnesses such as the flu, pneumonia, shingles, hepatitis B, meningitis, HPV, tetanus, diphtheria and pertussis.

To learn more about which vaccines are available under your plan for you and your covered family members, check your benefit materials for details and any necessary copays. Or, you can call the number on the back of your ID card.

  • For vaccinations covered under the prescription drug benefit, select vaccines can be conveniently administered at a participating vaccine network pharmacy near you.
  • To see a complete list of all participating pharmacies, search the pharmacy network on myprime.com Learn more about third-party links and filter for vaccine pharmacies. Or, you can call the number on the back of your ID card.
  • Before you go, be sure to confirm your selected pharmacy's participation, hours and vaccine availability. Ask about any other age limits, restrictions or requirements that may apply. Remember to present your ID card to the pharmacist.

More information is available in the pharmacy vaccine program member flier PDF Document.

Pharmaceutical Care Management

If you have BCBSOK prescription drug benefit coverage, you have access to our team of clinical pharmacists and other resource tools to help answer questions you may have about your prescriptions.

The Pharmaceutical Care Management (PCM) program helps you get the best results from the medicines you take. A member of the PCM team may reach out to talk with you about the medicines you take. The medication review by a clinical pharmacist helps make sure the medicines you are taking are safe and work well. The pharmacist can also share ways to help you lower your out-of-pocket costs for your prescriptions.

For more information about how PCM works: