BCBSNC Switching to New Pharmacy Benefits Manager

As of April 1, 2012, Blue Cross and Blue Shield of North Carolina will have a new pharmacy benefits manager (PBM), Prime Therapeutics. The insurer advises physicians and patients that it expects minimal changes in the number of pharmacies participating in its network, along with limited disruption of pharmacy services for members. The NCMS will be closely monitoring this change and urges members to contact kfreeman@ncmedsoc.org if their practice experiences disruptions related to this transition. NCMS will keep members updated on these changes at http://www.ncmedsoc.org/ and in the Bulletin.

BCBSNC’s current PBM is Medco, which is notifying members in their mail-order program that their next 90-day refill (if refill date is on or after April 1, 2012) will not be covered by Medco. Prime is scheduled to begin mailing new member materials in late February, and BCBSNC has added a message to their customer service line to announce the change.

More information is available on the News and Information page on the BCBSNC Provider Portal.  If you have any questions, please contact your BCBSNC Network Management representative or BCBSNC Customer Service.


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