Corporate Print Logo

How to request an exception if your drug is not on our list

Call Customer Service if your prescription drug is not on our list. You can reach us at 1-888-494-2583, we are available from 8 a.m. to 8 p.m. seven days a week. TTY users can call 1-800-377-1363.

New members have a 90-day transition period after they enroll in our plan. During this time, you can get a 30-day supply of your prescriptions that are not on our drug list, or that have step therapy or prior authorization requirements. After you get your 30-day supply is a good time to talk to your provider about a formulary exception or other drugs that may work for you.

If Customer Service confirms that we do not cover your drug, you have three options:

  • Ask your provider if you can switch to another drug that the plan covers. Call Customer Service if you need a list of covered drugs to share with your provider.
  • Ask us to make an exception and cover your drug by completing our Prescription Drug Coverage Determination form.
  • Return this form by mail to Blue Cross of Idaho, PO Box 8406, Boise ID 83707 or by fax at 1-208-381-8829

You can also purchase your drug and ask for reimbursement by making an exception request.

Your exception request does not obligate us to reimburse you if we do not approve your request. If we deny your request, you have the right to appeal our decision using our Prescription Drug Coverage Redetermination form.

Return the redetermination form by mail or fax as shown on the form.

2014 Tools, Resources & Other Information

Drug List (Formulary) & Prescription Drug Resources

Membership Information

Member Handbook

Summary of Benefits

Evidence of Coverage

Annual Notice of Change

Other Plan and Benefit Information

Medicare beneficiaries may enroll in Blue Cross of Idaho Medicare Advantage plans through the CMS Medicare Online Enrollment Center located at


Submit feedback about your health plan directly to Medicare, or find Medicare contacts, such as your State of Idaho Ombudsman.


Call from 8 am to 8 pm
7 days a week

Toll-Free: 1-888-492-2583
TTY 1-800-377-1363


3000 E Pine Ave.
Meridian, ID 83642-5996

P.O. Box 8406
Boise ID 83707-2406

If you have special needs, the information on this site may be available in other formats or languages. To find out more call 1-888-494-2583.

Blue Cross of Idaho Care Plus is a PPO, HMO or HMO POS health plan with a Medicare contract. Enrollment in Blue Cross of Idaho Care Plus depends on contract renewal.

Blue Cross of Idaho Care Plus, Inc. Code of Ethical Business Conduct (PDF 180K)pdf download


Blue Cross of Idaho Care Plus Notice of Privacy Practices

Need more help deciding which type of coverage fits your needs? Attend a seminar or find a certified agent.

Member Newsletters

Medicare Newsletters
Y0010_MK 14070 Approved 12-26-2013
Last updated 12-27-2013