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November 2018

AllianceRx Walgreens Prime specialty pharmacy program starts Jan. 1

AllianceRx Walgreens Prime has become the exclusive provider of specialty pharmacy services for some Blue Cross Blue Shield of Michigan and Blue Care Network commercial (non-Medicare) members. Blue Cross has notified the affected members about this change.

To ensure there’s no interruption in therapy, you’ll need to write a new prescription for your affected patients before Jan. 1, 2019, if:

  • They have Blue Cross or BCN insurance coverage that requires them to get specialty medications from AllianceRx Walgreens Prime.
  • They’re currently using a pharmacy other than a Walgreens retail location or AllianceRx Walgreens Prime (formerly Walgreens Specialty Pharmacy) for a specialty medication.

Take no action for patients with remaining refills for prescriptions currently filled at a Walgreens retail location or AllianceRx Walgreens Prime.

About AllianceRx Walgreens Prime
AllianceRx Walgreens Prime will help patients with complex health conditions get convenient access to medications you prescribe that:

  • Need injections
  • Need to be taken on a strict schedule
  • Have special storage needs

AllianceRx Walgreens Prime will:

  • Reduce the demands on your time.
  • Help simplify the referral process.
  • Handle insurance verification, prior authorization and financial assistance coordination.
  • Provide a team of pharmacists, nurses and patient care coordinators to help ensure your patients get the specialty pharmacy care they deserve.

In addition, patient care coordinators will regularly contact your patients to offer helpful information. They’ll also provide guidance that encourages medication compliance, and they’ll:

  • Help your patients better understand their complex health conditions.
  • Work with Blue Cross to coordinate and verify pharmacy benefits, as necessary.
  • Assist your patients when they need new or existing prescriptions filled, and schedule refills.
  • Encourage your patients to take their medications exactly as prescribed.
  • Help your patients manage medication side effects.
  • Evaluate responses to prescribed medication therapies.
  • Call prescribers when necessary.
  • Offer access to pharmacists by telephone 24/7.
  • Deliver specialty medications to the most clinically appropriate sites that meet your patients’ needs (such as your office, a clinic, treatment center or a patient’s home or workplace).

For more information, visit alliancerxwp.com/hcp.**

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2017 American Medical Association. All rights reserved.