Preferred Pharmacy Network Updates

Preferred Pharmacy Network  Updates

If you’ve bought your metallic plan on your own, have a metallic plan through your employer or have a non-grandfathered health plan through your employer, your BCBSOK prescription drug benefit plan may have a Preferred Pharmacy Network. You can find your Preferred Pharmacy Network locations on MyPrime.com – logged in or not*.

Preferred Pharmacy Network 

If your prescription drug benefit plan has a Preferred Pharmacy Network, the preferred pharmacies in your network are:

  • Walgreens
  • Walmart (including Sam’s Club)
  • Pharmacy Providers of Oklahoma, Inc. (PPOK)
  • Health Mart Atlas (a group of independent pharmacies)
  • LeaderNET Pharmacies (a group of independent pharmacies)

This means when you use a preferred pharmacy to fill a prescription, you’ll pay less out-of-pocket:

 pharmacy chart
**You can also go to a retail pharmacy in the preferred pharmacy network to fill up to a 90-day supply.

Finding Network Preferred Pharmacies Locations
An up-to-date address list of your Preferred Pharmacy Network is available when you want to go someplace close. Prime Therapeutics, your pharmacy benefit manager (PBM), offers the online resource myprime.com. MyPrime.com is available 24/7 on any mobile device.

Not logged into MyPrime.com?

  1. Visit MyPrime.com.
  2. On the Find a Pharmacy page, select "Preferred Network."
  3. On the Pharmacy Search Results page, enter your city, state, zip code or address to search for pharmacies in your Network. Since all in-network retail pharmacies will be listed, you can filter by “Preferred pharmacies ” to find specific locations in your Preferred Pharmacy Network .

Logged into MyPrime.com?
After signing into MyPrime.com, your pharmacy network will automatically appear.

You’ll follow the same steps shown above after selecting the “Pharmacies” link in the top navigation menu to find a preferred pharmacy.

Think of prescription drug benefit or MyPrime.com questions? Sign up for Connect updates or leave a comment so we can talk!

*Preferred Pharmacy Network pricing isn’t available for 100% cost-sharing plans. These 100% cost-sharing plans don’t have a tiered structure for member out-of-pocket copay/coinsurance for prescription drugs.

Originally published April 1, 2016

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