Medicare Members: Switching to a Preferred Pharmacy Can Save You Money

Posted on Aug 1st 2018 by Florida Blue

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Everyone loves saving money when and where they can. Did you also know you can save money on prescription drugs? If you’re a Florida Blue Medicare member, you may save money on your copays when you use one of our preferred pharmacies. Switching to a preferred pharmacy is easy.

Why “Preferred”?

Preferred pharmacies are all of the pharmacies in our network that have agreed to fill covered prescriptions at a lower cost for our members. When you use a preferred pharmacy, you’ll typically pay less for your medications because your copay will be lower.

4 Ways to Find a Preferred Pharmacy

1. You can use our Online Provider Directory to find a preferred pharmacy you want to use. Remember, it’s best to log in to your member account first before using the Online Provider Directory. That way you will get matches based on your specific plan.

After you log in, select “Pharmacy” from the Provider Type. Then choose “Retail Preferred” in the Pharmacy Type to filter your results more. 

Look for the “Preferred Pharmacy” label next to the names of the pharmacies listed in your search results.

2. Log into MyPrime.com to search for a preferred pharmacy in your network close to home. Remember, it’s best to log in to your member account first before using MyPrime.com. That way you will get matches based on your specific plan.

Note: Not all Medicare plans have preferred pharmacies. Check your plan to see what pharmacies are best for you.

Look for the “P” in a circle next to the pharmacy name to quickly find preferred pharmacies.

3. You can also call our Medicare Member Services team at 1-800-926-6565 (TTY users, please call 1-800-955-8770) for up-to-date information. We can also send you a list of preferred pharmacies in your network.

4. Ask your current pharmacy if they are in your network and are considered a preferred pharmacy. If you want to check the guidelines for prescriptions covered and pharmacies in our network, you can also log in to the Florida Blue Medicare page and follow these easy steps:

  • Click Resources & Tools at the top of the page.
  • In the drop down menu, click on Medicare Forms
  • Choose your Medicare plan type and the document type: BlueMedicare Comprehensive Formulary.

Switch to a Preferred Pharmacy in 5 Easy Steps

Once you’ve chosen your pharmacy follow the steps below to move your current prescriptions to your new pharmacy.

1. Talk to your new pharmacist about your plan to transfer your prescriptions.

2. You will need to bring your prescription bottles and phone number of your old pharmacy. The pharmacist will call your old pharmacy and arrange to have your prescriptions transferred.

3. You can also ask your doctor for a new written prescription and bring it to your new pharmacy to be filled.

4. You will need to give your new pharmacy some information. They usually need to know your first and last name, date of birth, address, phone number and any allergies you may have.

5. You will also need to provide your Florida Blue Medicare Advantage member ID card. If you have a BlueMedicare Supplement plan or BlueMedicare Rx (Prescription Drug Plan) you may need to bring your original Medicare ID card, too.

If You Need a Specialty Pharmacy

Sometimes your prescriptions must be filled at a specialty pharmacy. We have specialty pharmacies in our network that will also cover all or part of the cost of your medication. Specialty pharmacies include pharmacies that supply drugs for home infusion therapy or those that supply drugs to residents at long-term care facilities (such as a nursing home) or to the Indian Health Service/ Tribal/ Urban Indian Health Program. Specialty pharmacies also dispense drugs that are restricted by the FDA or that require special handling. Talk with your doctor and pharmacist to see if you need a specialty pharmacy.

You will have coinsurance for any specialty drugs you need. You can check your plan’s drug list (formulary) for more information. For a list of specialty pharmacies in our network, look in our Online Provider Directory or call Member Services at 1-800-926-6565. TTY users, please call 1-800-955-8770. You can also click here to visit our website and learn more about the specialty pharmacies in our network and medications that are covered. 


Filed under: Medicare News  


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