BlueChoice Dropping EpiPen Coverage

Attention BlueChoice HealthPlan members in South Carolina: You need to be aware of a couple of changes to your prescription drug coverage.

Pharmacy coverage is one of the most complicated aspects of managing your health insurance plan.

The cost of prescription drugs is often very high (astronomical, even), and this can lead to difficult decisions on the part of insurance companies regarding what drugs to cover and at what level or tier. Finding the right balance between coverage and cost is important and often difficult.

BlueChoice HealthPlan is making a few changes to their prescription drug formulary that will take effect on September 1, 2017.

Changes to the BlueChoice Prescription Drug Coverage

Changes effective September 1:

  • Brand Vytorin will not be covered effective September 1.

There are three drugs that will not be covered after September 1, but BlueChoice will continue to pay claims until October 1 in order to ease the transition for members who use them:

  • Brand Aplenzin
  • Taclonex suspension
  • Brand EpiPen / EpiPen Jr

It is the last drug – EpiPen and EpiPen Junior, that will likely get the most attention. If you need to fill (or refill) a prescription for EpiPen, you need to do it before October 1. 

These changes apply to Blue Option individual health insurance plans as well as BlueEssential group health insurance plans.

If you don’t have health insurance currently, the next Open Enrollment period (for 2018) will begin in November 2017. In the meantime, we suggest you consider a short-term health insurance plan to give you protection for the remainder of this year.

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