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Blue
Rx® Preferred
Blue Rx Preferred is a managed drug plan included with
several of our health plans. It's a convenient program that helps members
get all their medically necessary prescription medications at the most
economical price!
How It
Works
Blue Rx Preferred includes managed care elements that balance two important
goals — providing access to necessary medications and encouraging the
economical
purchase
of those
medications. The incentives built into this plan and the information we
provide your employees accomplish these goals.
This balance can save you money! Here's how:
- Blue Rx Preferred is based on the usage of generic drugs,
unless an "A" rated generic drug is not available. Your employees may
choose to purchase a brand-name drug even when a generic is available.
However,
the employee will usually pay a higher copayment or
coinsurance amount and the difference between the two drug prices.
- Blue Rx Preferred gives you lower costs because Wellmark has
negotiated a pricing structure through pharmacies of the
nationwide network that supports Blue Rx Preferred. When your employees use their
ID cards
at any participating pharmacy, their claims will be
processed electronically and they will automatically get the lowest
price available at that pharmacy.
Blue
Rx Preferred features include:
- Nationwide pharmacy network.
Wherever your employees go, their Blue Rx Preferred benefits go with
them. With Blue Rx Preferred, you have one of the most expansive pharmacy
networks across
the United States, too. Nationwide,
more than 59,000 pharmacies are part of the pharmacy network that supports
Blue Rx Preferred.* Even if an out-of-network pharmacy is used, your
employees still have Blue Rx Preferred benefits!
- No claims forms to fill out. When
your employees present their Wellmark ID card at partcipating
pharmacies, their claim will be submitted automatically to us while
the prescription is being filled! No paper claims.
No hassles.
- Cost Savings. By presenting their
Wellmark ID to the pharmacist before the prescription
is filled, your employees will ensure that they pay only their share
of the costs, less deductible and coinsurance.
There's no need to second-guess the amount!
- Our Wellmark Drug
List,
a comparative listing of drugs, helps our members and us manage the
overall cost of prescription medications
better by promoting the use of more cost-effective drugs.
Please note: This information is only a summary
of the benefits of Blue Rx Preferred coverage from Wellmark Blue Cross and Blue Shield of
South Dakota; it is to be used for descriptive purposes only. Benefits and general
provisions described herein are subject to terms of the actual policy and benefits
certificate.
Blue
Rx Preferred is available for:
- Wellmark Blue Cross and Blue Shield of South Dakota group members
*Catalyst Rx, 2nd Quarter, 2007
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