Access information and resources necessary for prescribing medications to BMC HealthNet Plan members.

Check Drug Coverage

Before prescribing a medication, check to make sure it’s covered by the member’s plan. You can also see which over-the-counter drugs we cover.

Prescription Fulfillment

Members are able to fill prescriptions using the following:

  • Retail pharmacy: Find one by selecting the member's plan from the Find a Pharmacy drop down menu located on this page. Members can fill prescriptions at any pharmacy in the network.
  • Specialty pharmacy: Certain injectables and biotech drugs must be obtained through our specialty pharmacy network. Cornerstone Health Solutions is our preferred specialty pharmacy, but members may use any specialty pharmacy in our network. For more information, call Cornerstone Health Solutions at 1-844-319-7588.
  • Mail order pharmacy: Members can save money on maintenance drugs by getting them through our mail order pharmacy, Cornerstone Health Solutions. For more information, call Cornerstone Health Solutions at 1-844-319-7588.

Prior Authorization and Clinical Guidelines

Use our look-up tool to see if prior authorization is required for a medication. If you believe that it is medically necessary for a member to take a medication excluded by our pharmacy program, you may submit a prior authorization request by fax or online

For providers of our Senior Care Options members: Vaccines are covered under both Medicare Part B and Part D. Learn more about vaccine coverage

Pharmacy Programs

We use a number of pharmacy programs to promote the safe and appropriate use of prescription drugs. All drugs that belong to a program have clinical guidelines (like current health condition) that must be met before the Plan will cover it. Drugs that belong to a pharmacy program are indicated on the BMC HealthNet Plan Formulary.

View our Pharmacy Programs.

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