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Prescription Drug & Pharmacy

Prescription Drug Information

Your employees' health and pharmacy benefits recently renewed with BlueChoice HealthPlan. Their benefit plan now includes a different prescription drug list (PDL) called the Tiered PDL. There is no change in the drugs the plan covers, but some of the drugs are now on a different tier. Each tier refers to a specific copayment or coinsurance level. Please see your plan documents to find out what employees will pay for each tier.

View the 2018 Tiered Prescription Drug List or 2019 Tiered Prescription Drug List. Or find a 2018 overview or 2019 overview of the pharmacy benefit, including an abbreviated tiered drug list, by common medical conditions.

Save Money and Time

Generic drugs are medications that contain the same active ingredients as the corresponding brand-name drugs, but generally cost less. The U.S. Food and Drug Administration (FDA) requires testing of generic drugs before they are sold to make sure they are of the same quality and effectiveness as their brand-name counterparts. 

To take advantage of the savings generic drugs can provide, your employees just need to get a prescription from their doctor and take it to a network pharmacy. If the prescription is filled with a generic drug, your employees will likely pay a lower copayment. If the prescription is filled with a brand-name drug that has a generic option, your employees will pay a higher copayment or coinsurance based on their benefit plan, plus the price difference between the generic and the brand-name drug. At no time will your employees pay more than the retail price.

Drug Look Up Tool

Your employees can use the drug lookup tool to search for information on a specific drug. This link leads to a third party website. That party is solely responsible for the content and privacy policies on its site. Caremark is an independent company that provides prescription drug benefits administration on behalf of BlueChoice HealthPlan. For personal information about prescription drug coverage, please have your employees log in to My Health Toolkit®.

Vaccines

BlueChoice HealthPlan has expanded flu vaccine coverage! Your employees can still get immunized at their doctor's office, but we now cover vaccinations at other locations as well.

  • Your employees can get their seasonal flu vaccine covered at $0 copay through their pharmacy benefit by visiting a participating network pharmacy. Find one within South Carolina or the entire U.S. that offers this service. Your employees can check their local drug store where they usually get your prescriptions filled or choose another participating location.