Prime Therapeutics : Blue Cross and Blue Shield of Texas Medicaid - Prescription Synchronization

Effective January 1, 2018

Author: Erica Lawrence/Monday, December 18, 2017/Categories: APCI Choice

Effective January 1, 2018, Plans must allow for synchronization of prescriptions and pro-rate the cost-sharing as instructed by the Texas House Bill 1296. Participating Pharmacies can override refill too soon rejects and partially fill a prescription if all the following apply: 

* Partial fill is necessary to synchronize prescriptions. 

* Applies only to formulary drugs or drugs with a prior-authorization. 

* The medication is a maintenance drug. 

* The medication is not a Schedule II, III or IV medications.

*Please see attached for more information.

Comments are only visible to subscribers.