Pharmacy network changes coming January 1 for Small Group employers with ACA plans

Small Group BlueCare, BlueOptions and BlueSelect ACA health plans will have a new pharmacy network in 2017. Changes will help lower the cost of many prescription drugs at retail pharmacies for you and your employees.

Starting January 1, 2017, pharmacy networks for Small Group ACA plans will have two big changes:

  • Walgreens will be featured in the new pharmacy network.
  • CVS-owned pharmacies* (including Target and Navarro) will not be in the 2017 pharmacy network.

The pharmacy network for Small Group employers with pre-ACA plans will not change. In addition, Large Group employers are not affected by this change at this time.

Change means savings for your employees
Starting January 1, you’ll see lower prices for many prescriptions at Walgreens than anywhere else. This means:

  • Employees will often pay less when they have a deductible to meet.
  • Or if the drug costs less than the copay, they’ll pay the lower price.**

If your employees use a CVS-owned pharmacy after January 1, they’ll pay the full price of medications out of their pocket.

Convenient pharmacy locations
Your employees will have a lot of choices in the new pharmacy networks. Although Walgreens is featured, your employees can also choose from Publix, Winn-Dixie, Walmart and many other small retailers and independent pharmacies. They’ll be sure to find a network pharmacy near home or work.

Sharing the news with your employees We’ll share details about the changes to pharmacy networks with your employees through a series of letters and emails. You may get some questions from your employees, so we’ve prepared a flier you can download and share. Encourage your employees to call our 24/7 dedicated hotline (888-840-3052) if they have questions about the pharmacy network changes, would like to find a pharmacy nearby or want help transferring CVS prescriptions.

Still have questions? Your Florida Blue agent will be happy to share more information about the pharmacy network changes.

*CVS-owned pharmacies excluded from pharmacy networks on January 1, 2017 include Bear Creek Pharmacy, Care Pharmacy, Care Plus CVS/Pharmacy, CarePlus, CarePlus CVS Pharmacy, Longs Drug Store, Longs Pharmacy, Navarro Discount Pharmacy, Navarro Health Services, RxAmerica, Target Pharmacy and Wellness Works Pharmacy.

**Retail costs reflect the estimated total allowed amount within the deductible phase. Actual cost will be determined at the time of purchase according to member’s benefits. Drug costs are subject to change according to date of service.