What’s new? As of Oct. 1, 2023, the Prime Therapeutics® oral oncology pharmacy network has transitioned to the IntegratedRx™ network of specialty pharmacies.
What is IntegratedRx™? IntegratedRx™ is a clinically integrated program that allows members to receive their oral oncology and other select medications at their health care provider’s clinic or hospital pharmacy. The doctor and pharmacist are part of the same team and have direct communication.
Members have access to more than 400 clinic-based pharmacies for oncology and more than 10 clinic-based pharmacies for cystic fibrosis.
Finding a specialty pharmacy: An updated list of BCBSNM’s in-network specialty pharmacy vendors can be found on our provider website. Members can view the specialty network list by logging into their Blue Access for Members℠ or MyPrime.com accounts.
More information: Call the number on your patient’s member ID card to verify coverage, or for further assistance or clarification on your patient’s benefits.
BCBSNM contracts with Prime Therapeutics to provide pharmacy benefit management and related other services. BCBSNM, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics. MyPrime.com is an online resource offered by Prime Therapeutics.
The relationship between BCBSNM and the specialty pharmacies is that of independent contractors.
The information mentioned here is for informational purposes only and is not a substitute for the independent medical judgment of a physician. Members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any medication is between the member and their health care provider.