Commercial pharmacy program naming updates effective January 1, 2027
Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is updating the names of select Commercial pharmacy programs on January 1, 2027. These updates are intended to create more consistent program names over time. Medicare pharmacy programs are not included in this effort.
During the transition period from July 1, 2026, through June 30, 2027, prescribers and pharmacies may see both current and new program names referenced in communications, resources, and systems. Future guidance will be shared on timing for full adoption of new names.
Updates include both name-only changes and select programmatic changes that will be communicated separately.
What prescribers need to know
No changes to prescribing workflows are expected because of these naming updates unless otherwise communicated.
Patient eligibility, coverage, benefits, utilization management requirements, and clinical criteria changes will be limited and follow existing policy update processes.
Program name changes prescribers may see:
| Current name in 2026 | New name in 2027 |
| GuidedHealth Base and GuidedHealth Buy Up | MedGuard, MedGuard+, and MedGuard Advanced |
| HighTouch Rx | Rx Clinical Catch |
| Low Cost Alternative Rx | RxCentral |
| Magellan High Cost Therapy Program | High Cost Therapy UM |
| MedsYourWay-Retail | RightPrice Rx |
| Oncology Split Fill | Split Fill |
| Prime's Real Time Benefit Check | Real Time Pharmacy Benefit |
What pharmacies need to know
Unless otherwise communicated, the following will remain the same:
- Reimbursement, contracts, and payment processes
- Dispensing, billing, and claims submission processes
- Specialty Pharmacy Network participation requirements
Program name changes pharmacies may see:
| Current name in 2026 | New name in 2027 |
| FlexAccess | Value Optimizer |
| FlexAccess-Qualified | Accumulator Optimizer |
| Free Market Health | Fair Market Rx |
| Advocate+ Pharmacy Match | Fair Market Rx Advantage |
| Excel MyWay | ScriptShift |
| Preferred MyWay | ScriptShift Max |
Pharmacies should continue to use existing pharmacy support or network management contacts for questions.