Medicare pharmacy network

Blue Shield of California Medicare Plans have two pharmacy network types:

• If you are enrolled in in one of the following plans you have access to all the pharmacies in our network. Your cost share will be the same, regardless of what pharmacy you use:
  • Blue Shield TotalDual Plan (HMO D-SNP) in Orange and San Bernardino counties
  • Blue Shield Inspire (HMO D-SNP) in San Joaquin, Merced, and Stanislaus counties
    
  • Blue Shield TotalDual Plan (HMO D-SNP) in Los Angeles and San Diego counties
• If you are enrolled in any other Blue Shield of California Medicare Advantage or Medicare Prescription Drug Plans, your pharmacy network includes pharmacies that offer standard cost sharing and pharmacies that offer preferred cost sharing. You may go to either, but your cost may be lower at pharmacies that offer preferred cost sharing.

If you want a pharmacy directory mailed to you, please call (855) 203-3874 (TTY: 711) or email MemberSvcs@blueshieldca.com.

Pharmacy locator

Search for a pharmacy in your area. Enter your ZIP code or address, city, and state. The Pharmacy locator search results will display the closest in-network pharmacies. You can also save and/or print your search results for your convenience by selecting the corresponding icon on the search results page.

If you are enrolled in Blue Shield TotalDual Plan (HMO D-SNP), Blue Shield Inspire (HMO D-SNP) in San Joaquin, Merced, and Stanislaus counties, Blue Shield TotalDual Plan (HMO D-SNP) in Los Angeles and San Diego counties:

Blue Shield Medicare Advantage Prescription Drug and Blue Shield Medicare Prescription Drug Plan Individual and Employer Group plan members:

To identify network pharmacies that offer cost sharing, check that the listing says Preferred in the Pharmacy Type / Additional services column of your search results.
 

You can also download a pharmacy directory:

If you need help selecting a participating pharmacy, or would like to inquire about the most current pharmacy network information, please call customer service at the number on your Member ID card.
 

Get an extended day supply of your prescription

Your Blue Shield Medicare plan covers an extended day supply (90 or 100 days, depending on your plan) of your maintenance medication at all network pharmacies, including CVS Caremark®, our mail service pharmacy. Maintenance medications are those prescribed to treat a chronic or long-term medical condition, such as asthma, diabetes, high blood pressure, or high cholesterol, and are taken on an ongoing, regular basis to maintain health. Ask your doctor for an extended day supply prescription. If your plan offers network pharmacies with preferred cost sharing, you may save money if you fill the prescription at a preferred cost-sharing pharmacy, which includes select retail pharmacies and the CVS Caremark® Mail Service Pharmacy.
 

Mail service pharmacy

Filling your prescription through a mail service pharmacy

Have your maintenance medications delivered to your home or office through CVS Caremark, our mail service pharmacy with no charge for standard shipping or delivery. Log in to your Blue Shield of California member account at blueshieldca.com/login. You can also call CVS Caremark^® at (866) 346-7200  (TTY: 711). 

Download an order form

• English (PDF, 1 MB)
• Español (PDF, 1.1 MB)

Specialty pharmacies

Specialty pharmacies are available to all Blue Shield of California Medicare Advantage and Medicare Prescription Drug Plan members. Your doctor may call or fax your prescription to any specialty pharmacy in our network, including CVS Specialty^® pharmacy.

 Online: cvsspecialty.com
 Phone: (800) 237-2767
 Fax: (800) 323-2445

Blue Shield of California’s pharmacy network includes limited lower-cost, preferred pharmacies in certain counties within California. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call the customer service number on your ID card, 8 a.m. to 8 p.m., seven days a week or consult the online pharmacy directory at blueshieldca.com/medpharmacy2024

Group Medicare Advantage Only plans

Group Medicare Advantage Only plans do not have Part D benefits with this carrier. Refer to your Part D carrier's website for Part D prescription benefits coverage.