Custom AgentClient/Member Resources
Dec 19, 2023
1 Minute Read

New pharmacy program offers discount pricing for eligible, generic drugs 

Members will have access to a new pharmacy discount program starting January 1, 2024. Price Edge is an integrated solution that will automatically provide the best available price on eligible, on-benefit and off-benefit generic drugs. For on-benefit drugs, the discount will apply to a member’s deductible and out-of-pocket (OOP) maximum. Price Edge is offered by Blue KC’s pharmacy benefit manager at no cost. 

Price Edge benefits

Members benefit in several ways:  

  • Simple experience because of the integrated discount 
  • No need to use an off-benefit program for discounts 
  • Costs for on-benefit drugs apply to deductible and OOP maximum 
  • Blue KC provides clinical oversight for on-benefit claims 
  • No additional cost to use 

How to use Price Edge 

To claim a discount on a qualifying drug, members simply show their Blue KC member ID and prescription at an in-network pharmacy. The discount will automatically apply at any in-network retail and mail order pharmacy. 

Members can see if a Price Edge discount applies to a new or existing drug using the drug pricing tool on the MyBlueKC app or If the drug has a Price Edge discount, this message will appear below the price: “We found you a competitive low market price with Price Edge.” 

Please contact your Blue KC representative for more information about Price Edge.  

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