BlueCross BlueShield of South Carolina, BlueChoice HealthPlan of South Carolina and CVS/caremark^® are introducing the new Advanced Choice Network^TM. This network is exclusive for all BlueCross and BlueChoice^®Health Insurance Marketplace (Exchange) plans.  CVS/caremark is an independent company that provides pharmacy benefit management and pharmacy services on behalf of BlueCross and BlueChoice.

Beginning Oct. 1, 2016, Blue Essentials^SM (BlueCross Exchange) and Blue Option^SM (BlueChoice Exchange) members must use pharmacies in the Advanced Choice Network. If members fill prescriptions at a non-participating pharmacy after Oct. 1, 2016, they will be required to pay the full retail price.  APNS is participating in the Advanced Choice Network.  This is a limited network. 

Attached please find a listing that shows a claim count by zip code  where there are excluded pharmacies.  Your pharmacy has the opportunity to pick up some of these claims by being in network.

Members have already received a notification advising them of this change, which also includes a list of participating pharmacies closest to their homes.

RXBIN: 004336 RXPCN: ADV RXGRP: RX3956 ACTION REQUIRED: Beginning on April 19, 2016, the following or similar reject may have occurred in error on some Arkansas Blue Cross and Blue Shield Marketplace claims: Reject 65 <<Patient is Not Covered

The Food and Drug Administration (FDA) approved emergency contraceptives as an Over-the-Counter (OTC) option for females aged 17 and older. The Department of Health Services (DHS) does not require females aged 17 and older to have a prescription from their Prescribing Provider to purchase emergency contraceptives OTCs. Females under the age of 17 must have a prescription from their Prescribing Provider for emergency contraceptives.