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Home » Questions And Answers » Target/CVS exclusion

Target/CVS exclusion

SBeals
over 7 years ago

I am upset that Target/CVS will not be in-network for my PPO starting January 1.  How can you justify excluding one of the nation's largest pharmacy networks in a PPO?

Parents
  • 0 over 7 years ago
    Hello ,
    Our main priority is to provide quality, affordable care to as many people as possible. Working closely with Prime Therapeutics, we continuously assess our pharmacy networks and offerings to ensure we’re keeping health care accessible for our members. As part of ongoing negotiations, CVS Pharmacy requested additional reimbursement rates for generic prescriptions in comparison to other pharmacies. To maintain affordable benefits for our members and customers, we need to obtain competitive reimbursement rates from participating pharmacies within Prime’s network. So beginning Jan. 1, 2017, CVS pharmacies and CVS pharmacies in Target stores will no longer be a part of our 2017 pharmacy network available to BCBSIL’s fully insured employer group and retail market (QHP small group and individual plan) members.- Araceli
Reply
  • 0 over 7 years ago
    Hello ,
    Our main priority is to provide quality, affordable care to as many people as possible. Working closely with Prime Therapeutics, we continuously assess our pharmacy networks and offerings to ensure we’re keeping health care accessible for our members. As part of ongoing negotiations, CVS Pharmacy requested additional reimbursement rates for generic prescriptions in comparison to other pharmacies. To maintain affordable benefits for our members and customers, we need to obtain competitive reimbursement rates from participating pharmacies within Prime’s network. So beginning Jan. 1, 2017, CVS pharmacies and CVS pharmacies in Target stores will no longer be a part of our 2017 pharmacy network available to BCBSIL’s fully insured employer group and retail market (QHP small group and individual plan) members.- Araceli
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