Pharmacy Benefit Manager

Beginning Jan. 1 2020, BlueCross BlueShield of South Carolina‘s pharmacy benefit will be administered by OptumRx. There will be little or no effect on most members from this change. However, there are a few updates to BlueCross’ prescription drug coverage for 2020:

  • ID Cards: All members will receive a new ID card in December to replace their current one. Members should be sure to show their new card at the pharmacy when they have their first prescription filled in 2020. Members can always access the most up-to-date version of their ID card by logging in to My Health Toolkit™ (on the web or via the app).
  • Mail-Service Pharmacy: Beginning Jan. 1, mail-service will be provided by OptumRx Home Delivery. Most current mail-service prescriptions will automatically transfer. Members with mail-service prescriptions will receive a letter from BlueCross in November with more information.
  • Specialty Pharmacy: Also beginning Jan. 1, BriovaRx will be BlueCross’ new preferred specialty pharmacy. Members who currently use a specialty drug purchased through CVS Specialty Pharmacy will have their prescription automatically transfer to the new specialty pharmacy. All members affected by this change will receive a letter from BlueCross in mid-November with more information.

As part of their health plan’s regular pharmacy benefit updates, some members may also experience changes to their prescription drug coverage on Jan. 1, 2020. Any member, who is currently taking a drug that will be affected by changes taking effect on Jan. 1, will be sent a letter in mid-October describing the change and any actions needed. Contact your marketing representative for more information.

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