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If you’ve purchased your metallic plan on your own, have a metallic plan through your employer or have a non-grandfathered health plan through your employer, your BCBSIL prescription drug benefit plan may have a Preferred Pharmacy Network. You can find your Preferred Pharmacy Network locations on MyPrime.com – logged in or not*.
Preferred Pharmacy Network If your prescription drug benefit plan has a Preferred Pharmacy Network, the preferred pharmacies in your network are:
This means when you go to a preferred pharmacy to fill a prescription, you’ll pay less out-of-pocket:
**You can also go to a retail pharmacy in the preferred pharmacy network to fill up to a 90-day supply. Members with an HMO plan can use select pharmacies in their network to get up to a 90-day supply of a covered prescription.
Finding Network Preferred Pharmacies LocationsAn up-to-date address list of your Preferred Pharmacy Network is ready for you when you need to go someplace close. Prime Therapeutics, your pharmacy benefit manager (PBM), offers the online resource myprime.com. MyPrime.com is available 24/7 on any mobile device.
Logged into MyPrime.com?After signing into MyPrime.com , your pharmacy network will automatically appear.
You’ll follow the same steps shown below after choosing the “Pharmacies” link in the top navigation menu to find a preferred pharmacy.
Not logged into MyPrime.com?
Leave us a comment so we can Connect about prescription drug benefit or MyPrime.com questions!
Originally published April 1, 2016
Hello AlexMKatz. We would have to look at your plan to see why that would be happening. Please send us a private message and I can have our team reach out to you to discuss. - Renee
My BCBSIL card says that I have $0 co-pays and $0 co-insurance, and yet my network preferred pharmacy (Walgreens) continues to charge me co-pays and co-insurance. Can you please explain why this is happening? Since January 1, 2017, I have the Blue Choice Preferred Bronze 106 plan. Thanks.
Hi Ric . As we have always done, we will work with Prime to re-evaluate the network on an ongoing basis to ensure our members
have continued access to quality, affordable health care. However, in order for us to maintain affordable benefits for
our members and customers, we need to obtain competitive reimbursement rates from participating pharmacies within
Prime’s network.