We’re making a change to YOUR PHARMACY BENEFITS
On January 1, 2023, we're changing the company we use to administer your pharmacy benefits. As we make this change, we want to ensure that you are informed and feel supported throughout the transition. While we expect that most members will experience little impact, there are some things to know, and ways you can prepare.
WHAT YOU NEED TO KNOW ABOUT THE CHANGE
We’ll reach out to you if there are changes that require your attention.
If you have any questions, call us at the number on your ID card.
We'll transfer your prescriptions
We'll transfer your current mail order prescriptions (if eligible for refills) to our new mail service pharmacy. If there are medications that require your attention, we’ll let you know.
You can check for coverage changes in advance
We’ve made the new covered medications list available in advance, so you can see if coverage for any of your prescriptions has changed. If so, talk with your doctor about these changes.
You'll receive a new member ID card for 2023
In the coming months, we’ll mail you a new card. Bring this card to the pharmacy the first time you fill a prescription in 2023, so they can update your information.
Frequently Asked Questions
Now more than ever, controlling the rising cost of health care is critical. The cost of prescription medications is growing the fastest, and that cost accounts for almost 20% of your premium. Working with our new pharmacy benefit manager, we believe we can better manage the effect of medication prices on your health care premiums.
The change to a new pharmacy benefit manager will mean few or no changes for most members, as the prescription medications we cover and the terms of coverage will remain the same for most medications. Also, most of our current network pharmacies will remain in-network. If you’re going to be affected by the change, we’ll let you know by mail and we’ll guide you through any action you need to take.
Mail Service Pharmacy
There will be a new mail service pharmacy. If you use the mail order pharmacy, your prescription(s) will transfer automatically, except for controlled-substance prescriptions, and prescriptions with no refills remaining. In those cases, you’ll need to ask your doctor for new prescriptions.
Formulary (the medications we cover)
We review and make changes to our formularies each year. Depending on the formulary, changes can be made up to four times per year. This frequency will continue under the new pharmacy benefit manager. Formulary changes can include changes to prescription medications, tiers, dosing requirements, and step therapy. As always, we’ll notify you and your health care provider in advance about any such changes.
On or after January 1, 2023, sign in to MyBlue to access the mail service pharmacy website. When refilling your prescriptions, you’ll be prompted to add your billing information. Don’t forget to enroll in auto-refill and to select your communication preferences. You can also enroll in the mail service pharmacy by calling 1-877-817-0477, TTY: 711 (for commercial members) or 1-877-817-0493, TTY: 711 (for Medicare members).
You’ll have access to an extensive pharmacy network, which includes CVS Pharmacy, Rite Aid, and Walgreens pharmacies as well as thousands of independent pharmacies. If the pharmacy you use now isn’t in the new pharmacy benefit manager’s network, we’ll let you know by mail.
For Commercial members, including Medex members, use our online 2023 Find a Pharmacy tool to find in-network pharmacy options near you.
For Medicare Advantage members use the 2023 Find a Pharmacy tool for Medicare members.
No. Our network of retail specialty pharmacies remains the same as of January 1, 2023.