Blue Rx PreferredSM
How It Works
- Ask your physician if the drug is generic. If it isn’t, ask
whether a generic equivalent drug is available
- Ask your physician to
refer to the Wellmark Drug List. Your copayment is lower
for first tier or generic drugs
- Choose a pharmacy that contracts with Catalyst Rx. More than 59,000
pharmacies throughout the United States participate in the Catalyst
Rx network that
supports Blue Rx Preferred*
- To find a participating pharmacy, use our
online directory
- Show your Wellmark ID card to the pharmacist each time
you have a prescription filled. You will automatically get the lowest
price available to Wellmark members at
that pharmacy
- Pay the pharmacist only your share of the cost of the prescription.
The pharmacist will submit the claim for you and be reimbursed for his or
her portion
What You Get
1. Nationwide pharmacy network.
The Catalyst Rx network that supports Blue Rx Preferred is one of
the most expansive pharmacy networks in the country.
2. No claim forms to fill out.
When you present your Wellmark ID
card at participating pharmacies, your claims are submitted
automatically while
your prescriptions are being filled! No paper claims. No hassles.
3. Cost savings.
Presenting your Wellmark ID to the pharmacist
before the prescription is filled ensures that you pay only your
share of the costs.
4. Wellmark Drug List.
Our drug list, a comparative listing
of drugs, helps manage the overall cost of prescription medications
by promoting the use of more cost-effective drugs. Search
the Wellmark Drug List.
5. Benefits at out-of-network pharmacies.
Even if an out-of-network
pharmacy is used, you still have benefits. However, these pharmacies
do not have
benefit information available. You will have to pay for the drugs
at the time the prescription is filled and fill out and submit
a paper
claim. You will be reimbursed the amount a participating
pharmacy would have
received.
Questions
About Your Specific Benefits
- Refer to your benefits certificate, coverage manual, or
policy
- Call the Customer Service
number on your identification card
Please note: This information is only a summary of the benefits
of Blue Rx Preferred coverage from Wellmark Blue Cross and
Blue Shield; it is to be used for descriptive purposes only.
Benefits and
general provisions described herein are subject to terms of
the actual policy, benefits certificate, or coverage manual.
*Catalyst Rx, 2nd Quarter, 2007
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