Drug Cost Transparency Tools Available for Boeing Group Members

New tools are available for Blue Cross and Blue Shield of Illinois (BCBSIL) members enrolled in a Boeing-sponsored group medical plan or Boeing Medicare Part D prescription drug plan through Blue Cross Group MedicareRx (PDP)SM and their health care providers. Boeing group member ID numbers start with these prefixes: BBE, BEM, BHP, BNK, BRG, BYR.

These useful new tools are part of electronic medical record (EMR) systems and are available during e-prescribing. They include information, such as:

• Accurate total drug cost savings (based on actual payer costs and rebates) for up to three lower-cost, dose-matched clinically equivalent alternative medications.
• Notice of any prior authorization requirements, as well as alternative medication(s) that may not need a prior authorization.
• Any other notifications that may cause pharmacy call-backs to the health care professional.

By reducing pharmacy call-backs to health care professionals to resolve drug coverage issues, these tools help enhance provider productivity, identify possible treatment options that may lower a patient’s out-of-pocket costs, and help improve overall patient satisfaction and adherence.

If lower-cost medication alternatives are shown, please consider the list of recommendations to determine if any changes in drug treatment are appropriate.

Boeing is one of the first groups to use this real-time prescription benefit tool, which can enhance and improve your everyday workflows.

Pharmacy benefits and limits are subject to the terms set forth in the member’s certificate of coverage. The listing of any particular drug or classification of drugs is not a guarantee of benefits. Members should refer to their certificate of coverage for more details, including benefits, limits and exclusions. Regardless of benefits, the final decision about any medication is between the member and their health care provider.

Blue Cross®, Blue Shield® and the Cross and Shield symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Prime Therapeutics LLC (Prime) is a pharmacy benefit management company providing pharmacy benefit management services for Boeing health plan members.

Prescription drug plans provided by HCSC Insurance Services Company (HISC), an Independent Licensee of the Blue Cross and Blue Shield Association. A Medicare-approved Part D sponsor. Enrollment in HISC’s plans depend on contract renewal.

These new tools are offered by an independent third-party vendor that is solely responsible for its products and services. BCBSIL makes no representations or endorsements regarding the services of the vendor. If you have any questions or concerns about the products or services offered, you should contact the vendor directly.