Pharmacy coverage
Your prescriptions are an important part of your health journey. That’s why Blue KC, together with our pharmacy benefit manager (PBM), works hard to make getting your medications simple, safe, and affordable.
While specific benefits may vary on your plan, here’s everything you need to know about your pharmacy coverage. For your exact benefits, we recommend logging in to your member account to review your benefit certificate.
Helpful links about your pharmacy coverage
Want to dive a little deeper? We’ve rounded up these educational resources to help you learn the ins and outs of your coverage and put your benefits to work.
Helpful links about your pharmacy coverage
Want to dive a little deeper? We’ve rounded up these educational resources to help you learn the ins and outs of your coverage and put your benefits to work.
Helpful links about your pharmacy coverage
Want to dive a little deeper? We’ve rounded up these educational resources to help you learn the ins and outs of your coverage and put your benefits to work.
Know what medications are covered
The Prescription Drug List – also known as a formulary – is a list of prescription medications that have been reviewed and recommended by Blue KC’s Medical and Pharmacy Management Committee. The list includes both brand-name and generic prescription medications approved by the Food and Drug Administration (FDA) along with their tier level.
Log into your pharmacy benefits account by following these easy steps:
- Log in to your member account.
- Click Plan Benefits and then select Pharmacy.
- Select Manage Prescriptions & Track Home Deliveries to be redirected to our Pharmacy Benefits Partner site. Once you’re redirected to our Pharmacy Benefits Partner homepage, you can:
- Check medication coverage
- Enroll in home delivery
- Find a network pharmacy
Depending on your plan, you can fill prescriptions at thousands of convenient locations, including:
- Major retailers
- National drugstore chains
- Local pharmacies
- Supermarkets
If included in your plan, save time and money with maintenance medications delivered right to your door:
- Get a three-month supply of maintenance medications
- Enjoy potential cost savings on longer supplies
- Free standard shipping
- 24/7 pharmacist support
- Automatic refill reminders
If you’re managing a chronic condition and your plan includes specialty pharmacy benefits, our specialty pharmacy provides:
- Lowest available cost for specialty medications
- 24/7 access to pharmacists and nurses who specialize in your condition
- Personalized support for your specific therapy
- Proactive refill reminders
- Confidential packaging and delivery
Save money with Rx Savings Solutions
We’ve partnered with Rx Savings Solutions (RxSS) to help you make informed decisions about your prescriptions. This free, pharmacist-created service shows you real-time pricing and money-saving opportunities.
6 ways you could save with RxSS
When you enroll in RxSS, you’ll always know when you can spend less for your current medications, and be able to work with your doctor to decide what’s best for your health and budget. Here are just a few of the ways you may be able to save:
Blue KC customers can refer to their coverage details within their Blue KC certificate, which outlines the benefits, exclusions, responsibilities, rights and other important information related to Blue KC plans. To view your current Blue KC contract/certificate, or to print a copy of your Summary of Benefits and Coverage, log in to MyBlueKC.com and click on Plan Benefits. For costs and further details of the coverage, please contact Blue KC.