Tag Archive for: Pharmacy

CalCPA Health + GoodRx

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Helping Lower Your Pharmacy Costs — Automatically

CalCPA Health PPO and HSA medical plan enrollees now benefit from built-in GoodRx prescription pricing (when available) as part of their pharmacy coverage through Express Scripts Rx.

There’s nothing you need to do. No coupons. No discount cards. No separate enrollment.

When you present your CalCPA Health plan ID at the pharmacy, your prescription is automatically processed through your benefit. If the GoodRx price is lower than your plan’s already negotiated cost, you will automatically receive the lower GoodRx price.

What This Means for You

Lowest Available Price on Eligible Generic Medications

Eligible generic medications (excluding specialty generics) are automatically compared to GoodRx pricing to ensure you receive the lowest available price.

Effortless Member Experience

No need to search for GoodRx coupons or present a discount card. The comparison happens automatically through your CalCPA Health benefit.

Supports Medication Adherence

You receive discounted medications without delay, helping you stay on track with your prescribed treatments.

Claims Count Toward Your Plan

Unlike stand-alone discount programs, prescriptions processed through this partnership apply toward your deductible and out-of-pocket maximum.

This program ensures you receive competitive pricing while maintaining the protections and accumulators of your CalCPA Health pharmacy benefit.

Reminder: Mail Order Savings

For many maintenance medications, the Express Scripts mail-order pharmacy offers lower copays and overall drug costs. Be sure to compare your options for additional savings.

Questions? If you have questions about your pharmacy coverage:

CalCPA Health remains committed to helping members access care affordably and confidently.

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Anthem Blue Cross Supporting People Affected by California Wildfires

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Anthem is taking action to help people affected by the wildfires in Lake, Mariposa, Mendocino, Napa, Riverside and Shasta counties by revising medical and pharmacy guidelines that will help ensure members can continue care and access needed prescription medications. The items pertaining to pharmacy apply to Anthem’s relationship with Express Scripts. It’s important that our members know what Anthem is doing for our members in the above mentioned areas during this critical time.

For impacted members, Anthem is:

  • Relaxing time limits for prior authorization, pre-certification and referral requirements – there will be no late penalties.
  • Suspending early refill limits for prescriptions.
  •  Allowing replacement of medical equipment or supplies.
  • Extending filing deadlines for claims.

These medical and pharmacy guidelines are effective from July 26, 2018 until August 25, 2018, unless further extended.

For additional questions, members should call the phone number on the back of their membership card as associates are standing by to help.

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