Pharmacy Members Have A New Specialty Pharmacy Choice
What is New?
As of August 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) Medicaid members, whose pharmacy benefits are administrated through Prime Therapeutics LLC (Prime), now have Accredo® (a full-service specialty pharmacy) added as an additional vendor. Other in-network pharmacies may also be available.
Choosing a Specialty Pharmacy
Your patients may ask you to move their prescription(s) to the new specialty pharmacy service.
BCBSTX Medicaid members should use an in-network specialty pharmacy to take full advantage of their pharmacy benefit coverage. Please note: Specialty pharmacies used to supply specialty drugs covered under the member’s medical benefit can still be used.
- When renewing your patients’ current specialty drug prescriptions or when writing new prescriptions, ask your patients for their preferred specialty pharmacy.
- If your patients want to use Accredo, you can send the prescriptions by visiting accredo.com/prescribers for referral forms by therapy, e-prescribing to Accredo1 or calling the pharmacy at 1-833-721-1619.
- For more information about Accredo, visit accredo.com/prescribers .
1 eRx to NCPDP ID 4436920, 1640 Century Center Parkway, Memphis, TN 38134
Please take this opportunity to update any pharmacy information that may be stored in your patients’ records. Also, if your patient had a current benefit prior authorization approval on file, it will follow the standard BCBSTX process for renewals.
Members can call us at the number listed on their BCBSTX Medicaid Member ID card if they have any questions. If you have any questions, need further help or need to check a patient’s coverage, please call us at the number on your patient’s ID card.
Accredo is a specialty pharmacy that is contracted to provide services to members of Blue Cross and Blue Shield of Texas (BCBSTX). The relationship between Accredo and BCBSTX is that of independent contractors. Accredo is a trademark of Express Scripts Strategic Development, Inc.
Prime Therapeutics LLC is a separate pharmacy benefit management company contracted by BCBSTX to provide pharmacy benefit management and related other services. BCBSTX, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics.
Pharmacy benefits and limits are subject to the terms set forth in the member’s certificate of coverage which may vary from the limits set forth above. For more complete details, including benefits, limitations and exclusions, members should refer to their certificate of coverage. Regardless of benefits, the final decision about any medication and pharmacy choice is between the member and their health care provider.