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

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

This is an important notice regarding Blue Cross and Blue Shield of Illinois Medicaid. Effective January 1, 2018, Plans must allow for synchronization of prescriptions and pro-rate the cost-sharing as instructed by the Illinois House Bill 2957. 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 medication.

*Please see attached for more information.

Comments are only visible to subscribers.