In this week's update, learn about efforts to get Medicare to address DIR fees, how to host your federal representatives at your pharmacy during the Congressional recess, and more!

Dear Valued Provider, Effective August 5, 2016, Blue Cross and Blue Shield of Alabama (BCBSAL) will be changing Crestor to a Tier 3 covered drug*. This change is due to more generic versions of Crestor (rosuvastatin calcium) being available on the market. If a Participating Pharmacy submits a claim for Crestor for a Covered Person, the claim will process at a Tier 3 copayment compared to Tier 1 copayment for rosuvastatin calcium.

Dear Valued Provider, Effective August 5, 2016, Blue Cross and Blue Shield of Kansas (BCBSKS) will be changing Crestor to a Tier 3 covered drug*. This change is due to more generic versions of Crestor (rosuvastatin calcium) being available on the market. If a Participating Pharmacy submits a claim for Crestor for a Covered Person, the claim will process at a Tier 3 copayment compared to Tier 1 copayment for rosuvastatin calcium.

August 5, 2016

Dear Valued Provider,

Effective August 5, 2016, Florida Blue will no longer be advantaging Crestor brand. This change is due to more generic versions of Crestor (rosuvastatin calcium) being available on the market. If a Participating Pharmacy submits a claim for Crestor for a Covered Person, the claim will process at a brand copayment compared to a generic copayment for rosuvastatin calcium. Rosuvastatin calcium will no longer require a prior authorization.

For questions about coverage of Crestor or the generic products, please refer Covered Persons to the Customer Service number on the back of their Florida Blue ID card.

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

Sincerely,

Pharmacy Network Management

Prime Therapeutics, LLC

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