Prime Therapeutics : Processing Update for Benicar® or Benicar HCT® for Covered Persons of Blue Cross and Blue Shield of Kansas

Effective May 5, 2017

Author: Erica Lawrence/Thursday, May 4, 2017/Categories: APCI Choice

Effective May 5, 2017, Blue Cross and Blue Shield Kansas (BCBSKS) will begin to cover the AB rated generics for Benicar (olmesartan) and Benicar HCT (olmesartan/hydrochlorothiazide).

Action Required

If Participating Pharmacies receive a prescription for Benicar or Benicar HCT, they will need to submit generic olmesartan or olmesartan/hydrochlorothiazide in order for the covered person to be assessed their generic cost share. Claims submitted for Benicar or Benicar HCT will process at the non-preferred brand cost share and a DAW penalty may apply.

For questions regarding coverage of Benicar, Benicar HCT, olmesartan or olmesartan/hydrochlorothiazide, please refer Covered Persons to the Customer Service number on the back of their BCBSKS ID card.

If you have any questions regarding claims processing, please call the Prime Contact Center at 800.821.4795.

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