April 28, 2023
Effective March 1, 2023, Prime Therapeutics’ IntegratedRx™ network has expanded to include pharmacies located within accredited cystic fibrosis treatment centers. Members with Blue Cross and Blue Shield of Montana (BCBSMT) pharmacy benefits can now get their cystic fibrosis medications and other necessary prescriptions from their treatment center’s clinic or hospital pharmacy.
Reminder: BCBSMT members also have access to the IntegratedRx oral oncology network. All pharmacies in the former Prime Therapeutics oncology network are transitioning to the IntegratedRx network.
Finding a specialty pharmacy: An updated list of BCBSMT’s in-network specialty pharmacy vendors can be found on our provider website . Members can view the specialty network list by logging into their Blue Access for Members℠ or MyPrime.com accounts.
For more information, you can refer to the previously published communication about the IntegratedRx networks.
More information: Call the number on your patient’s member ID card to verify coverage, or for more information on your patient’s benefits.
BCBSMT contracts with Prime Therapeutics to provide pharmacy benefit management and related other services. BCBSMT, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics. MyPrime.com is an online resource offered by Prime Therapeutics.
The relationship between BCBSMT and the specialty pharmacies is that of independent contractors.
The information mentioned here is for informational purposes only and is not a substitute for the independent medical judgment of a physician. Members should refer to their member contract/guide for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any medication is between the member and their health care provider.