The following items are included in the BlueRx (PDP) Enrollment Kit.
NOTE: These documents are large and vary in size. Printing is not advised. Please complete an enrollment kit request form, and we'll be happy to mail a packet to you.
You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by Prime Therapeutics, LLC. Prime is our business associate and is an independent company that provides pharmacy benefit management services to Blue Cross health plans. Prime has agreed to follow Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information.
To continue to the Prime website, click "Accept." If you want to stay on the Blue Cross website, click "Cancel."
This link takes you to another web site. Some areas of our site may provide links to other external sites that we don't own, control or influence. We reference sites that we think might be useful or of interest to you, but we are not responsible for the content or privacy practices used by other site owners. Information contained in the external sites is not endorsed by BCBSAL.
To continue, click "Accept". If you want to stay on the Blue Cross website, click "Cancel".
You are about to leave the Blue Cross and Blue Shield of Alabama Medicare products website to learn more about our Dental Plans. The site is operated by Blue Cross and Blue Shield of Alabama and all Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information apply here as well.
To continue to our Commercial website, click "Accept." If you want to stay on the Blue Cross Medicare products website, click "Cancel".
You are about to leave Blue Cross and Blue Shield of Alabama Medicare website to visit the UTIC Insurance Company website. The site is operated by UTIC Insurance Company and all of UTIC Insurance Company's privacy and security policies regarding the confidentiality and protection of your personal health information apply.
To continue, click "Accept." If you want to stay on the Blue Cross and Blue Shield of Alabama Medicare website, click "Cancel."
This link takes you to another web site. Some areas of our site may provide links to other external sites that we don't own, control or influence. We reference sites that we think might be useful or of interest to you, but we are not responsible for the content or privacy practices used by other site owners. Information contained in the external sites is not endorsed by BCBSAL.
To continue, click "Accept." If you want to stay on the Blue Cross Medicare products website, click "Cancel."
You are leaving the Blue Cross and Blue Shield of Alabama Medicare products website to log into myBlueCross, Blue Cross and Blue Shield of Alabama's member website. myBlueCross is operated by Blue Cross and all privacy and security policies regarding the confidentiality and protection of your personal health information apply here as well.
To continue, click "Accept." If you want to stay on the Blue Cross Medicare products website, click "Cancel."
You are about to leave the Blue Cross and Blue Shield of Alabama Medicare products website and go to AlabamaBlue.com. AlabamaBlue.com is operated by Blue Cross and Blue Shield of Alabama and all Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information apply here as well.
To continue, click "Accept." If you want to stay on the Blue Cross Medicare products website, click "Cancel."
You are about to leave the Blue Cross and Blue Shield of Alabama Medicare products website to learn more about vision plans. The site is operated by Blue Cross and Blue Shield of Alabama and all Blue Cross' privacy and security policies regarding the confidentiality and protection of your personal health information apply here as well.
To continue to our Commercial website, click "Accept." If you want to stay on the Blue Cross Medicare products website, click "Cancel".
Third Party Website Disclaimer
You are about to leave the Blue Cross and Blue Shield of Alabama Medicare products website to visit one of our social media sites. Although content of our social media sites is maintained by Blue Cross, Blue Cross does not control the security and/or privacy practices of these external social media sites. Therefore, Blue Cross advises users of these sites against sharing any personal health information or any other information the user would otherwise not feel comfortable being made public. Blue Cross shall not be liable for privacy breaches, security incidents or similar events due to the use of social media sites.
To continue, click "Accept." If you want to stay on the Blue Cross and Blue Shield of Alabama Medicare website, click "Cancel."