Custom AgentEmployer Resources
Nov 15, 2023
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Prescription Drug List updates

The Blue Cross and Blue Shield of Kansas City (Blue KC) Medical and Pharmacy Management Committee has completed its quarterly review of the Prescription Drug Lists (PDL) and other pharmacy programs for drug safety, effectiveness, clinical outcomes, and cost.

The following groups – ACA small employer groups, non-ACA small employer groups (2-99, including level-funded ASO) and large employer groups (100+) – will see the following PDL updates, effective January 1, 2024.

ACA small employer groups

  • Essential Health Benefits (EHB) PDL routine updates

Non-ACA small employer groups (2-99, including level-funded ASO)

  • Premium PDL routine updates

Large employer groups (100+)

  • Select PDL routine updates (previously Preferred PDL)
  • Premium PDL routine updates

Communications to groups

  • Impacted large employer groups will receive an email next week, and impacted small employer groups will receive a letter that will mail this week. Read the email and letter content.
  • Impacted members will receive a letter appropriate to their prescription change by December 1.

If you have questions, please contact your Blue KC representative.

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