Part D (Blue MedicareRx)
Resources for your Blue Medicare Rx plan
All you need in one place, including doctor and pharmacy directories, Evidence of Coverage documents, Medicare details, and more!
Annual Notice of Changes
These documents provide important information on new and updated benefits, helping you get ready for Medicare's Annual Open Enrollment (AEP).
- 2026 Annual Notice of Changes for Blue MedicareRx Value (PDP)
(document MC711 06/25) - 2026 Annual Notice of Changes for Blue MedicareRx Plus (PDP)
(document MC712 06/25) - 2026 Annual Notice of Changes for Blue MedicareRx Essentials (PDP)
(document MC713 06/25)
Claim Forms
- Part D Claim Form (PDF)
(form Y2357_Claim_Form_C)
Enrollment Forms
Evidence of Coverage
Find all the details about your plan. Consider this your owner's manual for your Blue MedicareRx plan.
- 2026 Evidence of Coverage for Blue MedicareRx Value (PDP)
(document MC714 06/25) - 2026 Evidence of Coverage for Blue MedicareRx Plus (PDP)
(document MC715 06/25) - 2026 Evidence of Coverage for Blue MedicareRx Essentials (PDP)
(document MC716 06/25)
Low Income Subsidy Premium
Multi-Language Interpreter Services
Nondiscrimination and Accessibility Statement and Notice
Pharmacy Directory
Find the most convenient in-network pharmacy location.
- Pharmacies
Prescription Drug Formularies
Start here to find out which of your prescription drugs are covered and what the cost will be for you.
- 2026 Formulary for Blue MedicareRx Value (PDP)
(document MC727) - 2026 Formulary for Blue MedicareRx Plus (PDP)
(document MC729) - 2026 Formulary for Blue MedicareRx Essentials (PDP)
(document MC731)
Prescription drug formulary transition policy
Star Rating
Summary of Benefits
This document is designed to help you understand your coverage by highlighting key features, including what is covered, potential costs for certain services, and information on services or procedures that may not be covered.
Medicare resources
S5726_PDPMedicareforms_M