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Select Specialty Medications to Transition to Accredo Specialty Pharmacy – Effective June 1, 2018

June 11, 2018

Beginning June 1, 2018, Accredo®, a full-service specialty pharmacy, will be Blue Cross and Blue Shield of New Mexico (BCBSNM)’s preferred in-network provider of select specialty medications covered under the medical benefit for administration to BCBSNM members.

To help ensure a seamless transition, affected patients with active prescriptions (eligible prescriptions with remaining refills) will be systematically transferred from AllianceRx Walgreens Prime to Accredo beginning June 1, 2018. Effective June 1, 2018, AllianceRx Walgreens Prime will be removed from the BCBSNM medical specialty network. AllianceRx Walgreens Prime will continue to be a preferred provider for specialty medications covered under the pharmacy benefit, which are typically FDA-approved for self-administration.

Affected patients with recent medical specialty prescription history at AllianceRx Walgreens Prime will be contacted by Accredo through awareness letters and outreach phone calls. The phone call will confirm appointments and shipping information for the next refill, as well as help set up ongoing care and support services. Providers with patients affected by this change will be notified via fax.

Please note: Specialty medication coverage is based on the member’s benefit. This change does not affect patients whose specialty medication may be covered under their pharmacy benefit. This change also does not affect patients with Medicare Part D or Medicaid coverage. Please call the number on the member’s ID card to verify coverage, or for further assistance or clarification on your patient’s benefits, including any prior authorization or predetermination approval that may be required.

Getting Started with Accredo

For patients with expired or no remaining refill prescriptions, providers can submit a new prescription to Accredo. Visit accredo.com (select Health Care Professionals) for referral forms by therapy and e-prescribing information, or call 1-866-759-1557. Prior authorization information should be included with each prescription.

Patient Care and Support Services

Accredo offers personalized care and support services, including :

  • Comprehensive access to specialty drug products and clinician-verified dosage and safety recommendations
  • 24/7 access to clinician team, plus flexible and convenient delivery to an address of your patient’s choice with included supplies
  • Care coordination to minimize drug-related adverse episodes or gaps in care
  • Assistance with medical insurance benefits, prior authorization and financial assistance coordination
  • Specialty trained clinicians at Accredo’s Therapeutic Resource CentersSM who are skilled in targeted therapy management programs that help to improve adherence, support the health care provider/patient relationship and plan of care, review therapy progress and maintain open communication with the provider and patient

If you have any questions, please call the number on the back of your patient’s ID card.

Accredo is an independent specialty pharmacy provider working with BCBSNM. The relationship between BCBSNM and specialty pharmacies is that of independent contractors.