Blue cross blue shield pharmacy phone number

Q: Which pharmacy does BCBS Texas use?

Blue Cross and Blue Shield of Texas (BCBSTX) prescription drug benefits are administered by Prime Therapeutics, our pharmacy benefits manager. Members can visit myPrime.com to: Search for prescription drugs.

Prime Therapeutics serves as Blue Cross' Pharmacy Benefit Manager. Together we look for ways to help our members get the medication they need to feel better and live well, while delivering the most cost-effective drug coverage.

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Prescription Drug Coverage (Part D)
Which pharmacy does BCBS Texas use?
Does Walgreens accept BCBS of Oklahoma?
Does Walgreens accept BCBS TX?
Does Walgreens accept BCBS NM?
Does CVS accept Blue Cross Blue Shield Texas?

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Generic drugs are as effective as brand-name drugs and can save you money. Learn more

*Not all Blue Cross plans have this service.

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Prescription Drug Coverage (Part D)

Medicare Prescription Drug plans are offered by private health insurance companies and cover your prescription drug costs for covered medications.

You can choose to receive this coverage in addition to:

Original Medicare (Part A and Part B)
Original Medicare (Part A and Part B) with a Medigap Plan

Part D coverage is generally included in most Medicare Advantage (Part C) plans.

Costs

Premium	Most Part D plans require a monthly premium.
Deductible	Some plans have deductibles.
Copays	Many Part D plans require that you pay a fixed copayment each time you fill a prescription.
Coinsurance	Some Part D plans require that you pay a percentage (coinsurance) of a medication’s cost every time you fill a prescription.
Coverage Gap	Although plan designs can vary, most Medicare Part D plans have a cost sharing component commonly known as a coverage gap or “donut hole.” The coverage gap is a temporary limit where you are responsible for all of your drug costs until you reach the plan’s annual out-of-pocket limit. After you reach that limit, you will pay only a small share of your prescription costs for the remainder of the year.

Limits and Considerations

Limits

Most Part D plans have “formularies,” which are lists of covered prescription drugs. Part D plans also have networks of approved pharmacies in your area.

Things to Consider

Costs for Part D plans can vary, so choose a plan that meets your needs and budget.
Part D insurance premiums may change each year. You will be notified of these changes in the fall prior to the annual Open Enrollment Period.
Medicare Part D has a low-income subsidy program, and Medicare beneficiaries may qualify for financial assistance with the cost of their medications based upon their income and assets.

Initial Enrollment Period

The Initial Enrollment Period is a limited window of time when you can enroll in Original Medicare (Part A and/or Part B) when you are first eligible. After you are enrolled in Medicare Parts A or B, you can select other coverage options like a Prescription Drug Coverage (Part D) plan from approved private insurers. After this period has ended, you can add or change your coverage during the Open Enrollment Period.

How to Enroll

You must be entitled to Part A or enrolled in Part B, and you must live in the designated geography of the plan you want to enroll in before joining a Medicare Part D plan. Contact your local Blue Cross Blue Shield company for help choosing a Medicare Part D plan and getting enrolled.

Open Enrollment Period

October 15 through December 7

Open Enrollment runs from October 15 through December 7 and it provides an annual opportunity for Medicare-eligible consumers to review and make changes to their Medicare coverage. This includes the opportunity to select or make changes to Prescription Drug Coverage (Part D). However, if you elect to receive Part D coverage after your Initial Enrollment Period window closes, a late enrollment penalty may be added to your premium.

Download the Medicare Advantage (Part C) and Prescription Drug Plans (Part D) guide to find the coverage options offered by your local Blue Cross Blue Shield company.

What is the difference between generic and brand-name drugs and how does that difference affect my benefits?

A generic drug is identical, or bioequivalent, to a brand name drug in dosage form, safety, strength, route of administration, quality, performance characteristics and intended use. Certain inactive ingredients that give the generic product its shape, color or flavor may be different than the brand product. Health professionals and consumers can be assured that FDA approved generic drugs have met the same rigid standards as the innovator drug. Although generic drugs are chemically identical to their branded counterparts, they are typically sold at substantial discounts from the branded price.

Depending upon your benefit design, you may substantially lower your out-of-pocket expense by using a generic drug instead of the branded drug. For example, if you have a $10 generic copay (tier 1) and $35 non-preferred brand copay (tier 3), you can save $25 on every prescription just by choosing generics. For drugs you take each month, that's a savings of $300 over an entire year. If your prescription drug benefit is based on coinsurance, generic drugs will save you money because they cost less than their branded counterparts.(In some cases, employer groups carve out the prescription drug benefit and contract with a vendor separately, please refer to your Member Guide to confirm that your pharmacy benefits are offered through Blue Cross NC.)

If I am going to be out of town for an extended time, how do I get an extra supply of drugs to cover me through that period?

If you will be going out of town for an extended time, benefits are available for an extended supply of up to 90 days for prescription drugs. However, you cannot refill a prescription until three-fourths of your current supply has been used. If you have not used three-fourths of your current supply but do not have enough medication to last through your trip, speak with your pharmacist about an early refill for up to an additional 30-day supply. If this amount is not enough, call Blue Cross NC Customer Service at 1-877-258-3334 for assistance. (In some cases, employer groups carve out the prescription drug benefit and contract with a vendor separately, please refer to your Member Guide to confirm that your pharmacy benefits are offered through Blue Cross NC.)

What is a drug formulary (or preferred drug list) and how does that affect me?

Blue Cross NC's prescription drug formulary is a list of FDA-approved prescription drugs reviewed and maintained by the Blue Cross NC Pharmacy and Therapeutics (P&T) Committee, comprised of independent physicians and pharmacists. Bluw Cross NC offers an open formulary; therefore, no drugs are considered non-formulary.

If your prescription drug benefit is based on copayments, the formulary can help you determine your copayment for a specific drug. It also provides a list of possible therapeutic alternatives that may be available at a lower copayment. If your prescription drug benefit is based on coinsurance, the formulary can help you identify any available low cost generic drugs. If you would like an updated copy of the formulary, free of charge, please call Blue Cross NC's Customer Service at 1-877-258-3334. You should bring your copy of the formulary with you when you visit the doctor. You may also get formulary information by using the online Prescription Drug Search. (In some cases, employer groups carve out the prescription drug benefit and contract with a vendor separately. Please refer to your Member Guide to confirm that your pharmacy benefits are offered through Blue Cross NC.)

Which pharmacy does BCBS Texas use?

Blue Cross and Blue Shield of Texas' (BCBSTX) prescription drug benefits are administered by Prime Therapeutics, our pharmacy benefits manager. Members can visit myPrime.com to: Search for prescription drugs.

Does Walgreens accept BCBS of Oklahoma?

Preferred network pharmacies include Walgreens, Walmart, and other independent pharmacies.

Does Walgreens accept BCBS TX?

Preferred network pharmacies include Albertsons, Amigos, Brookshire's, HEB, Kroger, Market Street, Randalls, Tom Thumb, United Supermarkets, Walgreens, Walmart and other independent pharmacies.

Does Walgreens accept BCBS NM?

Preferred network pharmacies include Albertsons, Safeway, Smith's, Walgreens, Walmart, and other independent pharmacies.

Does CVS accept Blue Cross Blue Shield Texas?

We accept most insurance plans for our Virtual Care services. This includes Blue Cross Blue Shield. However, you should get in touch with Blue Cross Blue Shield to ensure that your plan will cover a Virtual Care visit with us.

blue cross blue shield pharmacy phone number