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BCBSNC expands Prime Therapeutics' pharmacy benefit services

Release Date: November 29, 2012

BCBSNC expands Prime Therapeutics’ pharmacy benefit services to Medicare beneficiaries

Beginning January 1, 2013 Blue Medicare HMO and Blue Medicare PPO members will transition to a new pharmacy benefits manager (PBM), Prime Therapeutics® - the same PBM for BCBSNC’s commercial membership.  All pharmacy prior authorizations and patient medication history currently on file with Medco (our current PBM) will automatically be transferred to Prime Therapeutics (except controlled substances).  Prime will contact physicians with Blue Medicare HMO and Blue Medicare PPO members who have controlled substance prescriptions in order to have the prescription replaced. Providers should watch for replacement of fax forms for PrimeMail as they will be available via the Provider Portal at in the near future.

Prime has been providing pharmacy benefit management services to BCBSNC commercial customers since April 1, 2012. This expansion provides opportunity for additional savings in pharmacy costs and uniquely designed services and programs to thousands of Medicare customers with BCBCNC insurance coverage.

If you have questions, please contact the Provider Blue LineSM at 1.800.214.4844.