My Coverage Explained
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?1) Visit MyPrime.com and select Health Plan Type “Other BCBSIL Plans,” then select Continue.
2) On the Find a Pharmacy page, select "Preferred Network."
3) On the Pharmacy Search Results page, enter your city, state, zip code or address to search for pharmacies in your Network. Since all in-network retail pharmacies will be listed, you can filter by “Preferred pharmacies ” to find specific locations in your Preferred Pharmacy Network .
*Preferred Pharmacy Network pricing isn’t available for 100% cost-sharing or HMO plans. These 100% cost-sharing plans don’t have a tiered structure for member out-of-pocket copay/coinsurance for prescription drugs.
Leave us a comment so we can Connect about prescription drug benefit or MyPrime.com questions!
Last Updated: 4/15/2019
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Since you dumped Target/CVS I have had the most painful experiences with Walgreens. I am on Effient and Aptiom. While Target always had them in stock and had my savings card information on file, Walgreens never has either medication in stock and always screws up my savings card information. It takes them days to get these medications so we need to call well ahead of time for them to fill the orders. It is difficult to manage this as we only get the savings when the prescription is due so we play the timing game and hope things work out every time we go in to pick up my medications. On top of that they never have my savings card information and they have to manually enter it every time we go in so that takes even more time. Walgreens is ridiculous. I wish you would reconsider adding Target/CVS back into the network. Much easier to work with and never had these problems.
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.
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.
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
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