Pharmacy Program Updates: Quarterly Pharmacy Changes Effective Jan. 1, 2018
Based on the availability of new prescription medications and Prime’s National Pharmacy and Therapeutics Committee’s review of changes in the pharmaceuticals market, some additions or drugs moving to a lower out-of-pocket payment level, revisions (drugs still covered but moved to a higher out-of-pocket payment level) and/or exclusions (drugs no longer covered) were made to the Blue Cross and Blue Shield of New Mexico (BCBSNM) drug lists. Your patient(s) may ask you about therapeutic or lower cost alternatives if their medication is affected by one of these changes. Changes that were effective Jan. 1, 2018 are outlined below.
Please Note: If you have patients with an individual benefit plan offered on/off the New Mexico Health Insurance Exchange, they may be impacted by annual drug list changes. You can view a list of these changes on our Member Services website.