Nov. 26, 2025
Blue Cross and Blue Shield of New Mexico has engaged with Prime Therapeutics LLC (Prime) to launch Pharmacy Match, starting Jan. 1, 2026. This program expands the specialty pharmacy network and matches members with qualified specialty and complex care pharmacies.
How does it work? Pharmacy Match uses technology to facilitate the match of a member to an appropriate in-network specialty or complex care pharmacy based on custom-configured rules, including clinical services, access, and dynamic market pricing for all specialty medications. Prime has engaged Free Market Health to facilitate this streamlined referral process.
Which members have access? This program applies to our fully insured plans. For some commercial members, it is an employer group option. This program does not apply to Medicare or Medicaid members.
What you should know
Here is how you start a patient on a medication with Pharmacy Match:
- E-prescribe to FMH Pharmacy (NPI: 1366292880). You can also reach the FMH team via email at contact@fmhpharmacy.com, call 412-755-3241 or fax 833-998-4435.
- Continue to submit prior authorization requests to BCBSNM, when required for medications covered under the member’s pharmacy benefit.
- Once the PA, if needed, has been approved, Free Market Health will indicate what pharmacy accepted the referral and transfer the prescription. You will get a fax with the pharmacy assignment. Free Market Health or the pharmacy may contact you for inquiries or requests related to the prescription. Note: You may also notice new pharmacies contacting you.
- The matched pharmacy will contact your patient to begin onboarding and coordinate delivery.
- You can call 877-787-0520 or email prescribers@freemarkethealth.com if you have any questions.
If your patients have questions, they can call the number on their member ID card for BCBSNM.
The above material is for informational purposes only and is not intended to be a substitute for the independent medical judgment of a physician. Physicians and other health care providers are encouraged to use their own best medical judgment based upon all available information and the condition of the patient in determining the best course of treatment.
The relationship between BCBSNM and the pharmacies is that of independent contractors. Pharmacy Match is administered by Prime Therapeutics LLC, an independent company contracted by BCBSNM to provide pharmacy solutions. BCBSNM, as well as several Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics.
Free Market Health is an independent health care technology company that optimizes the drug process for payers, pharmacies and patients.