TULSA, Oklahoma — You may have recently received a letter from Blue Cross and Blue Shield of Oklahoma (BCBSOK) stating that your pharmacy will no longer participate in our pharmacy networks as of Jan. 1, 2021. We understand that these letters may have caused some confusion.
What’s happening
Your pharmacy is in-network through the end of 2020, but they have yet to sign a new in-network preferred pharmacy agreement for 2021.
Why it matters
If the pharmacy you use is non-preferred or out-of-network in 2021, you may continue filling prescriptions at that pharmacy, up to a 30-day supply, but you will pay a higher co-pay subject to your benefits.
Benefits of a preferred pharmacy
Preferred pharmacies allow you to pay the lowest price for medication prescriptions. They also enable you to get a 30-day or 90-day supply of medications.
Help our pharmacies
We understand the value of independent pharmacies in our communities. We want to ensure each pharmacy in Oklahoma has the opportunity to join the preferred network for 2021.
Make sure your pharmacy is a preferred pharmacy. If they are not, they are able to join the network for 2021 by emailing PrimeInquiries@express-scripts.com to request and complete a pharmacy participation agreement.
What you need to do
Log in to your Blue Access for Members account and click on “Prescription Drugs” under Quick Links after January 1, 2021, to find all preferred and in-network pharmacies.
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About Prime Therapeutics
Prime Therapeutics LLC is a pharmacy benefit management company. BCBSOK contracts with Prime to provide pharmacy benefit management and related other services. In addition, contracting pharmacies are contracted through Prime Therapeutics. The relationship between BCBSOK and contracting pharmacies is that of independent contractors. BCBSOK, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. MyPrime.com is an online resource offered by Prime Therapeutics. Prime Therapeutics has an ownership interest in AllianceRx Walgreens Prime, a central specialty and home delivery pharmacy.
About Blue Cross and Blue Shield of Oklahoma
Throughout its 80-year history, Blue Cross and Blue Shield of Oklahoma has been committed to meeting the health care financing needs of Oklahomans. As the state’s oldest and largest private health insurer, Blue Cross and Blue Shield of Oklahoma provides health care benefit plans for more than 800,000 Oklahomans. For more information, visit bcbsok.com. Blue Cross and Blue Shield of Oklahoma is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Oklahoma, Montana and New Mexico), the country’s largest customer-owned health insurer. Health Care Service Corporation is a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association.