Pharmacy Program Quarterly Update, Part 1: Changes Effective April 1, 2026

Feb. 4, 2026

Applies to Self-Funded and Fully Insured Groups*

Review the quarterly pharmacy updates for members with prescription drug benefits administered by Prime Therapeutics^®.

Member notices: Targeted mailings were sent to members affected by drug list revisions and/or exclusions, prior authorization program and dispensing-limit changes.

Note: This is Part 1 of a two-part update. The Part 2 update with coverage additions, utilization management updates and other pharmacy-program updates will be published closer to the quarterly effective date.

Prime Therapeutics, LLC is a separate company BCBSIL contracts with to provide pharmacy solutions. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics.

* This article, or a similar version, is being shared with employer groups in the Employer News newsletter or news alert.