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Applies to ASO and Cost Plus Groups
As you’re aware, we’re supporting the federal government’s over-the-counter (OTC) COVID-19 test coverage requirement for employers that have Prime Therapeutics® coverage through Blue Cross and Blue Shield of Illinois.
What this means to you: We previously let you know that we would bill our self-insured customers who have carved-in pharmacy benefits through Prime an administrative fee of $2.50 per OTC test claim. This fee also applies to our Cost Plus customers.
The February 2 article includes the details about the fee.
We will notify Cost Plus groups by email this week. If you have questions, please contact your account representative.
This information applies to members and groups with prescription drug benefits administered through Blue Cross and Blue Shield of Illinois (BCBSIL).
BCBSIL contracts with Prime Therapeutics to provide pharmacy benefit management and related other services. In addition, contracting pharmacies are contracted through Prime Therapeutics. The relationship between BCBSIL and contracting pharmacies is that of independent contractors. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics.