Retiree Pharmacy Benefits
Local Pharmacy Benefit
Use this benefit to purchase a short-term or single 30-day prescription at a network pharmacy in your area such as Albertson’s, Tom Thumb, Walgreens, etc. To see if a particular pharmacy is in the network, visit bcbstx.com and log into Blue Access for members (BAM) for online pharmacy resources.
Express Scripts Pharmacy
Express Scripts Pharmacy delivers your long-term (or maintenance) medicines right where you want them. No driving to the pharmacy. No waiting in line for your prescriptions to be filled.
Online
Visit the Express Scripts website. Follow the instructions to register and create a profile. See your active prescriptions and/or send your refill order.
Phone
Call 833-715-0942 24/7, to refill, transfer a current prescription or get started with mail order. Please have your member ID card, prescription information and your doctor’s contact information ready.
Mail
To send a prescription order through the mail, visit bcbstx.com and log in to Blue Access
for MembersSM (BAMSM). Complete the mail order form. Mail your prescription, completed order form and payment to Express Scripts® Pharmacy.
Talk to Your Doctor
Ask your doctor to write a prescription for up to a 90-day supply of each of your long- term medicines. You can ask your doctor
to send your prescription electronically to Express Scripts® Pharmacy, call 888-327-9791 for faxing instructions or call the pharmacy at 833-715-0942.
If you need to start your medicine right away, request a prescription for up to a one-month supply you can fill at a local retail pharmacy.
To Enroll
Visit bcbstx.com or call the phone number on the back of your member ID card.
Specialty Medications
Support in Managing Your Condition: Accredo
Accredo carries roughly 99% of specialty drugs, which means you’re more likely to get all of your specialty drugs from one pharmacy. Through Accredo, you can have your covered, self-administered specialty drugs delivered straight to you. When you get your specialty drugs through Accredo, you get:
- One-on-one counseling from 500+ condition- specific pharmacists and 600+ nurses
- Simple communication, including refill reminders, by your choice of phone, email, text or web
- An online member website to order refills, check order status and track shipments, view order and medication history, set profile preferences and learn more about your condition
- A mobile app that lets you refill and track prescriptions, make payments and set reminders to take your medicine.
- Free standard shipping
- 24/7 support
Examples of Self-Administered Specialty Medications
This chart shows some conditions self-administered specialty drugs may be used to treat, along with sample medications. This is not a complete list and may change from time to time. Visit bcbstx.com to see the up-to-date list of specialty drugs.
| Condition |
Sample Medications |
| Autoimmune Disorders |
Cosentyx, Enbrel, Humira, Xeljanz |
| Osteoporosis |
Forteo, Tymlos |
| Cancer (oral) |
Gleevec, Nexavar, Sprycel, Sutent, Tarceva |
| Growth hormones |
Norditropin Flexpro, Nutropin AQ, Omnitrope |
| Hepatitis C |
Dakinza, Epclusa, Harvoni, Mavyret, Sovaldi, Vosevi |
| Multiple Sclerosis |
Betaseron, Copaxone, Rebif |
Ordering Through Accredo
You can order a new prescription or transfer your existing prescription for a self-administered specialty drug to Accredo. To start using Accredo, call 833-721- 1619. An Accredo representative will work with your doctor on the rest.
Once registered, you can manage your prescriptions on accredo.com or through the mobile app.
Receiving Specialty Medications
Since many specialty drugs have unique shipping or handing needs, shipments will be arranged with you through Accredo. Medications are shipped in plain, secure, tamper-evident packaging. Before your scheduled fill date, you will be contacted to:
- Confirm your drugs, dose and the delivery location
- Check any prescription changes your doctor may have ordered
- Discuss any changes in your condition or answer any questions about your health
One-on-One Support
Accredo has 15 Therapeutic Resource Centers (TRCs), each focused on a specific specialty condition. Through your one-on-one counseling sessions, they’ll discuss how to reduce your disease progression and achieve your treatment goals, manage any side effects from your drugs, help you stick to your regimen and monitor your progress. They can also offer support with any financial or insurance concerns you may have.
Certain coverage exclusions and limits may
apply, based on your health plan. For some medicines, members must meet certain criteria before prescription drug benefit coverage may be approved. Check your benefit materials for details, or call the customer service number listed on your ID card with questions.