*Restrictions apply. See your health plan benefits for information on eligible prescriptions.
MedicareBlueSM Rx (PDP) and Group MedicareBlueSM Rx are Medicare-approved Part D sponsors. Enrollment in MedicareBlue Rx depends on contract renewal and enrollment in Group MedicareBlue Rx depends on renewal of the plan sponsor’s contract with Medicare.
Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa*; Blue Cross and Blue Shield of Minnesota*; Blue Cross and Blue Shield of Montana*, a division of Health Care Service Corporation, a Mutual Legal Reserve Company; Blue Cross and Blue Shield of Nebraska*; Blue Cross Blue Shield of North Dakota*; Wellmark Blue Cross and Blue Shield of South Dakota*; and Blue Cross Blue Shield of Wyoming
*Independent licensees of the Blue Cross and Blue Shield Association.