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Integrated prescription drug program offers additional value
Every Blue Solutions health plan includes prescription drug coverage, so your employees have safe, affordable access to covered medications.
Because medical and pharmacy benefits are integrated, our services are cost-effective and comprehensive. This helps us to better manage overall costs, improve health outcomes, and deliver a better member experience. Plus, you get the capabilities and negotiating power of a top-tier pharmacy benefits manager (PBM).
MEMBERS
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Prescription drug program features
We’ve implemented strategies that help members have better access to medications while also keeping costs low.
• Mail order/home delivery is available for certain maintenance medications with free shipping. Members may save money by getting 90-day fills of their maintenance medication at Rite Aid for the same cost-share as mail order/home delivery.
• Low-cost generic medications are available. Members can find a list of these medications in the Value Formulary at ibx.com.
PreCheck MyScript
• Formulary management includes drugs based upon medical effectiveness, safety, and value.
• Integrated data application enables better utilization and clinical management —providing an improved and holistic experience for you and your employees.
In-network doctors can access the prescription drug information they need, when they need it, with PreCheck MyScript. This digital tool makes it easier for doctors to focus on patient care and improves medication adherence.
• View a member’s prescription drug benefits and easily determine the most affordable cost-share options
• Access information on lower-cost alternatives for high-cost medications when available
Price a Drug tool
• Review prior authorization requirements before prescribing medications and suggest alternative medications when possible
Members can use the Price a Drug tool at ibx.com and the IBX mobile app to get the cost of a specific drug and compare savings by choosing a generic equivalent or switching from retail to mail order.
DOCTORS PHARMACISTS
NURSES DATA ANALYSTS