If you’ve purchased your metallic plan on your own, have a metallic plan through your employer or have a non-grandfathered health plan through your employer, your BCBSTX prescription drug benefit plan may have a Preferred Pharmacy Network. You can find your Preferred Pharmacy Network locations on MyPrime.com – logged in or not*.
Preferred Pharmacy Network If your prescription drug benefit plan has a Preferred Pharmacy Network, the preferred pharmacies in your network are:
This means when you go to a preferred pharmacy to fill a prescription, you’ll pay less out-of-pocket:
**You can also fill up to a 90-day supply at a retail pharmacy in the preferred pharmacy network.
Finding Network Preferred Pharmacies LocationsAn up-to-date address list of your Preferred Pharmacy Network is ready for you when you need to find someplace close. Prime Therapeutics, your pharmacy benefit manager (PBM), offers the online resource myprime.com. MyPrime.com is available 24/7 on any mobile device.
Not logged into MyPrime.com?
1) Visit MyPrime.com and select Health Plan Type “Other BCBSTX Plans,” then select Continue
2) On the Find a Pharmacy page, select "Preferred Network" or "Preferred Network for HMO" if you have an HMO.
3) On the Pharmacy Search Results page, enter your city, state, zip code or address to search for pharmacies in your Network. Since all in-network retail pharmacies will be listed, you can filter by “Preferred pharmacies ” to find specific locations in your Preferred Pharmacy Network .
Logged into MyPrime.com?After signing into MyPrime.com , your pharmacy network will automatically appear.
You’ll follow the same steps shown above after choosing the “Pharmacies” link in the top navigation menu to find a preferred pharmacy.
Last updated: 4/15/2019
*Preferred Pharmacy Network pricing isn’t available for 100% cost-sharing plans. These 100% cost-sharing plans don’t have a tiered structure for member out-of-pocket copay/coinsurance for prescription drugs.
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