
Price Edge: Delivering significant member savings on eligible generic drugs
We are excited to announce the success of Price Edge, a program launched on January 1, 2024, that lowers generic prescription costs for members. Price Edge has made a substantial impact in its first year by optimizing pricing and affordability.
2024 member savings highlights1
- Total member savings: $11.3 million
- Members impacted: 162,000
- Average savings per utilizing member: $69.45
- Savings achieved with utilization of non-specialty generic drugs, covered or non-covered, under the current pharmacy benefits
These results reflect our commitment to delivering meaningful financial relief that enables members to better manage their healthcare expenses while accessing the treatments they need.
Price Edge benefits
Your employees will benefit in several ways:
- Streamlined experience due to integrated discount
- No need to use an off-benefit program for discounts
- Costs for covered drugs apply to deductible and out-of-pocket (OOP) maximum
- Blue KC provides clinical oversight for covered drug claims
- No additional cost
How Price Edge works
Employees can claim discounts on qualifying generic drugs when they show their Blue KC member ID card and a prescription at any in-network pharmacy. Price Edge may lower copayment costs on certain covered and non-covered retail and home delivery medications. If an employee’s next fill qualifies, they will automatically receive a discount at checkout.
- Discounts apply to the employee’s deductible and OOP maximum for covered drugs
- Non-covered drugs will not apply to the employee’s deductible and OOP maximum
Why Price Edge matters
Price Edge represents a significant step in making healthcare more affordable. By reducing OOP costs, your employees experience immediate financial benefits, while you and brokers see the value of innovative, results-driven solutions.
1Blue KC & Price Edge 2024 CY report as of 12/31/24
For costs and further details of the coverage, including exclusions, any reductions or limitations and the terms under which the policy may be continued in force, contact Blue KC.