FAQs

Get answers to frequently asked questions.

Get Answers

Log in to our community to ask questions, rate articles, comment and more.


Facebook YouTube LinkedIn

Home » Questions And Answers » Target/CVS exclusion

Target/CVS exclusion

SBeals

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
    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
    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
Children
No Data
Related

Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation,
a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

© Copyright 2024 Health Care Service Corporation. All Rights Reserved.

Telligent is an operating division of Verint Americas, Inc., an independent company that provides and hosts an online community platform for blogging and access to social media for Blue Cross and Blue Shield of Illinois.

Adobe pdf icon File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at https://access.adobe.com.

leaving site icon You are leaving this website/app ("site"). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. Some sites may require you to agree to their terms of use and privacy policy.

Powered by Telligent