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Changes coming for Retirees Using Specialty Medications January 1, 2017

Sep 14, 2016

There will be changes to our prescription drug medications for public school retirees that use specialty medications. These changes will take place on January 1, 2017.  The Office of Retirement Services has sent us the following information. .  Please note the difference between Non-Medicare and Medicare members. These changes only apply to members who have Blue Cross/Blue Shield PPO coverage, and have OptiumRx for prescription drugs.

As of January 1, 2017 BriovaRx will handle all specialty medication needs for non-Medicare members. Beginning January 1, 2017 Medicare enrolled members will receive savings on preferred specialty medications filled at BriovaRx. These savings are available exclusively at BriovaRx. Our Patient Care Coordinators and Pharmacists at BriovaRx are highly trained to understand your special therapy needs, and we ship your medication wherever you need it—in safe, temperature-controlled and tested packaging—at no cost to you.

If you currently utilize a specialty pharmacy other than BriovaRx, here’s what you need to do:

  • Call 1-855-4BRIOVA (1-855-427-4682) to enroll right away. Our Patient Care Coordinators will guide you through the process. They will be expecting your call and are ready to help.
  • You can also register online at https://briovarx.com/newpatient. Make sure to complete the form entirely to help avoid delays in your transition.  After you submit the form, BriovaRx will contact your doctor and take care of everything else.

Non-Medicare Members

 

BriovaRx Pharmacy

Effective 1/1/2017

Non-BriovaRx Pharmacies

Effective 1/1/2017

Preferred Specialty Drugs

20% ($10 Min/$40 Max) - 30 Day Supply

No Coverage

Non-Preferred

Specialty Drugs

40% ($10 Min/No Max)* - 30 Day Supply

No Coverage

 

 

Medicare Members

 

BriovaRx Pharmacy

Effective 1/1/2017

Non-BriovaRx Pharmacies

Effective 1/1/2017

Preferred Specialty Drugs

20% ($10 Min/$40 Max) - 30 Day Supply

40% ($10 Min/No Max)* - 30 Day Supply

Non-Preferred

Specialty Drugs

40% ($10 Min/No Max)* - 30 Day Supply

40% ($10 Min/No Max)* - 30 Day Supply

*There are other specialty pharmacies in your network

OptumRx is here to help! Find forms, plan details, and answers to your questions
on our website and mobile app. Or, call and receive the assistance you need from our friendly professional staff.

Visit: www.optumrx.com/mycatamaranrx

Download the app: Search OptumRx in Google play store or Apple App Store

Call: 1-866-288-5209 (Non-Medicare) or 1-855-577-6517 (Medicare) to receive assistance 24 hours a day