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Pharmaceutical Care Management (PCM) is available to members who have Prime Therapeutics (Prime) pharmacy administration. Check Blue Access for MembersSM or ask your benefits administrator to see if you have Prime and the PCM benefit.
And then there are the differences between generics and brand name drugs, understanding what your plan covers and how to keep your costs down. Wouldn’t it be nice to have a helping hand to help answer your pharmacy questions?
If you have Prime Therapeutics (Prime) as your pharmacy administrator, you have access to Pharmaceutical Care Management (PCM), a service that does just that. PCM is a team of pharmacists and pharmacy technicians that work with nurses, doctors and care advocates to provide you with well-rounded care. This involves answering any questions you may have about your prescription drugs, making sure they are being taken as prescribed and finding ways you may be able to save on out-of-pocket costs.
Get AnswersThe PCM program gives members easy access to tips and support when they have pharmacy and drug-related questions. If your plan has the PCM program, you can ask for a pharmacist when you call the customer service number on your Member ID card. The pharmacist can help answer your questions.
Medication ReviewIf you take multiple medicines and need some help managing them, you may be able to request a medication review by calling the customer service number on your member ID card. And in some cases, we may reach out to members and suggest they participate in a review. Participation is voluntary, and this review is provided at no extra cost to you.
During a review, a clinical pharmacist from our dedicated team will talk to you about the medicines you are taking and help make sure your treatment is safe and works well. The first call may start with a full review of your medicines. A member of the PCM team will ask you some questions about the medicines you are taking. This review is done to help lower your chance of a drug-related problem, such as harmful drug interactions or adherence issues.
The PCM team can also share ways to help lower your out-of-pocket costs and answer any of your medication questions.
Here are some of the topics that may be discussed during a PCM review:
Treatment decisions are always between you and your doctor. Always talk to your doctor about any medication questions you have.
Coverage is based on the terms and limits of your benefit plan. Not all plans may have the PCM program review. See your plan materials for details. If you have questions about your benefits, call the customer service number on your member ID card.
You can look up drug lists by logging in to your Blue Access for MembersSM (BAMSM) account. After you log in, go to the My Coverage tab and click on Prescription Drugs. If you have Prime as your pharmacy administrator, you can go to MyPrime.com and click on Find Medicines to see if a drug is on your list and get cost information. If you still need assistance, call the number on the back of your member id card or send us a private msg. - HeatherA
How do I find the Medicare drug list and prices?
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