Is Your Pharmacy In-Network?

New Year, New Pharmacy?

You’ve known for a while that it just makes [dollars and] cents to find out if your health provider is in the network before you make an appointment. But did you know that your pharmacy must also be in the network?

With some prescription drug plans, in addition to in-network and out-of-network pharmacies, you also may have what’s referred to as a preferred pharmacy network.

You’ll save money if you visit a pharmacy in the network. But if a preferred pharmacy network is part of your benefits, you’ll save the most money when you fill your prescriptions at preferred pharmacies.

Preferred Pharmacy*

In-network Pharmacy

Out-of-network Pharmacy

Most cost savings

Lowest out-of-pocket

Some Savings

Lower out-of-pocket

No savings

Highest out-of-pocket

$

$$

$$$


*Does not apply to all pharmacy benefit plans. See your plan materials for details.

Find a Network Pharmacy

To find an in-network contracting pharmacy, sign in to myprime.com or call the number on the back of your member ID card.

Move Your Current Prescriptions

It’s easy to move an existing prescription or remaining refill to a new pharmacy. You can do one of these:

  1. Take your prescription bottle/bag to your new pharmacy, or
  2. Call your new pharmacy and ask them to contact your current pharmacy, or
  3. Ask your doctor to contact your new pharmacy.

Fill New Prescriptions

Ask your doctor to send any new prescriptions to your new network pharmacy. Be sure to bring your member ID card with you if it’s your first visit to the pharmacy or if you have changed health insurance plans.

Learn more about the Preferred Pharmacy Network.

Prime Therapeutics LLC is a pharmacy benefit management company contracted by BCBSTX to provide pharmacy benefit management and related services. In addition, contracting pharmacies are contracted through Prime Therapeutics. The relationship between BCBSTX and contracting pharmacies is that of independent contractors. BCBSTX, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics. Myprime.com is an online resource offered by Prime Therapeutics. 

Last Updated 1/17/2018

Comment

SIGN IN to share your comments or REGISTER today to become a Connect member.

Blue Access for Members (BAM)

LOG IN if you are a member or REGISTER today to become a Blue Access member.