April 25, 2023
Earlier this month we announced the IRX network, which is new for 2023. The full name of this program is Prime Therapeutics’ IntegratedRx™.
Effective Jan. 1, 2023, as we alerted you previously, Blue Cross and Blue Shield of Illinois members have access to the IntegratedRx oral oncology network. All pharmacies in the former Prime Therapeutics oncology network are transitioning to the IntegratedRx network.
Also, effective March 1, 2023, the program expanded to include pharmacies located within accredited cystic fibrosis treatment centers. Members with BCBSIL pharmacy benefits can now get their cystic fibrosis medications and other necessary prescriptions from their treatment center’s clinic or hospital pharmacy.
Finding a Specialty Pharmacy
An updated list of in-network specialty pharmacy vendors is posted on our Specialty Pharmacy Program page. Members can view the specialty pharmacy network list by logging into Blue Access for MembersSM or MyPrime.com.
Questions? To verify coverage, or for more information on your patient’s benefits, call the number on the member’s BCBSIL ID card.
BCBSIL contracts with Prime Therapeutics to provide pharmacy benefit management and related other services. BCBSIL, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics. MyPrime.com is an online resource offered by Prime Therapeutics.
The relationship between BCBSIL and the specialty pharmacies is that of independent contractors.
The information mentioned here is for informational purposes only and is not a substitute for the independent medical judgment of a physician. Members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any medication is between the member and their health care provider.