Blue Links for Employers

Specialty Pharmacy Name Change

Specialty Pharmacy Name Change

On January 1, 2014, CuraScript®'', a subsidiary of Express Scripts®'', will join Accredo Health Group, Inc.®'' You can use the Accredo website and telephone number listed below for questions related to a specialty medication. This change will not interrupt or delay future refills, as only the name of the pharmacy is changing.

Accredo Health Group, Inc.
1-877-988-0058
www.accredo.com

Changes to select medications when administered in a doctor's office or hospital1

Starting January 1, 2014, the following medications will no longer be covered through your medical benefit. They will only be covered if they are purchased prescription through your pharmacy benefits and administered by your physician. If you do not have pharmacy benefits, speak to your benefits manager to learn how to obtain prescription(s).

Drug Class Medication Name
Hyaluronic Acids/Joint Fluid Replacement Euflexxa, Synvisc-One, Synvisc, Orthovisc, Supartz, Hyalgan, Gel-One

The following medications will no longer be covered when administered in a doctor's office or hospital setting. They will only be covered when purchased from a retail pharmacy in our specialty network. If you do not have pharmacy benefits, speak to your benefits manager to learn how to obtain prescription(s).

Drug Class Medication Name
Fertility Regulator Ovidrel2
Antipsoriatic Stelara
Anti-TNF-alpha - Monoclonoal Antibodies Simponi
Bone Density Regulators Prolia, XGEVA
GGnRH/LHRH Antagonists Cetrotide
Growth Hormone Somavert
Receptor Antagonist  
Interleukin-1 Blockers Arcalyst
Interleukin-1beta Blockers Ilaris
Multiple Sclerosis Agent Extavia
Antineoplastic or Premalignant Lesion Agent - Topical Panretin

Over-the-Counter Medications
For non-grandfathered health plans under the Affordable Care Act, the following list includes over-the-counter medications that are covered with no cost share when they are prescribed for you by your doctor. This list is up to date as of January 1, 2014, and is subject to change at any time.

  • Generic aspirin (81mg) is covered for females age 55—79 and males age 45—79.
  • Generic folic acid is covered for females up to age 50.
  • Generic iron is covered for infants up to 12 months old.
  • Generic smoking-cessation drugs are covered for up to a 90-day supply per calendar year.
  • Generic Vitamin D is covered for females and males age 65 and older.
  • Generic women's contraceptives (e.g., female condoms, sponges, and spermicide) are covered.

New "My Rx Choice" Program for Commercial Accounts with pharmacy benefits

Beginning January 1, 2014, Express Scripts will begin a promotional mailing campaign to encourage the use of mail service delivery. Members taking a medication that would be suitable for the mail service pharmacy will receive a letter to educate them on the benefits of and potential savings of the mail service pharmacy program. Please contact your Account Executive with any questions.

1These changes do not impact Medex®' plans with a three tier pharmacy benefit
2Purchase of this medication is only available when purchased through a network specialty fertility retail pharmacy.

Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association.
® Registered Marks of the Blue Cross and Blue Shield Association.
© 2014 Blue Cross and Blue Shield of Massachusetts, Inc., and Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.
Landmark Center, 401 Park Drive, Boston, MA 02215-3326 | 800-262-BLUE (2583)