BCBS Drug List Changes

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Drug List Changes
Take Effect 07/01

BlueCross BlueShield of South Carolina offers pharmacy benefits programs that aim to provide the highest level of clinical effectiveness and safety for the lowest cost. We work with an independent committee of BlueCross network physicians and pharmacists to develop and maintain our drug lists. Decisions are based on drugs’ effectiveness, safety and value.

The attached Pharmacy Update bulletin details upcoming changes affecting the Preferred Drug List and Try Generics Drug List. Changes take effect July 1, 2017. Please note that requirements will change for some medications in the Prior Authorization, Quantity Management and Step Therapy programs, and in some cases, member communications are planned.
 
One noteworthy change involves prescription and over-the-counter proton pump inhibitors (PPIs) as well as non-sedating antihistamines (NSAs). Most of these will be excluded from coverage because effective, less expensive generic alternatives are now widely available. However, members still will have the option to receive prescriptions for some covered generic versions, should their doctors decide these are needed.

If you have any questions, please contact your BlueCross representative.