{"id":1012,"date":"2023-11-15T00:00:00","date_gmt":"2023-11-15T05:00:00","guid":{"rendered":"https:\/\/www.bluekc.com\/blueprint\/?p=1012"},"modified":"2023-11-30T12:31:36","modified_gmt":"2023-11-30T17:31:36","slug":"prescription-drug-list-updates-effective-january-1-2024-audience-agents","status":"publish","type":"post","link":"https:\/\/www.bluekc.com\/blueprint\/agents\/prescription-drug-list-updates-effective-january-1-2024-audience-agents\/","title":{"rendered":"Prescription Drug List updates"},"content":{"rendered":"\n<p>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.<\/p>\n\n\n\n<p>The following groups \u2013 ACA small employer groups, non-ACA small employer groups (2-99, including level-funded ASO) and large employer groups (100+) \u2013 will see the following PDL updates, effective January 1, 2024.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>ACA small employer groups<\/strong><strong><\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Essential Health Benefits (EHB) PDL routine updates<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Non-ACA small employer groups (2-99, including level-funded ASO)<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Premium PDL routine updates<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Large employer groups (100+)<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Select PDL routine updates (previously Preferred PDL)<\/li>\n\n\n\n<li>Premium PDL routine updates<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Communications to groups<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Impacted large employer groups will receive an email next week, and impacted small employer groups will receive a letter that will mail this week.&nbsp;<a href=\"https:\/\/www.bluekc.com\/blueprint\/wp-content\/uploads\/sites\/3\/2023\/11\/FINAL_Formulary_Premium_Preferred.Select_EHB_Comms_2024.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Read&nbsp;<\/a>the email and letter content.<\/li>\n\n\n\n<li>Impacted members will receive a&nbsp;<a href=\"https:\/\/www.bluekc.com\/blog\/wp-content\/uploads\/2023\/05\/PDL_SampleMemberLetters.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>letter&nbsp;<\/strong><\/a>appropriate to their prescription change by December 1.<\/li>\n<\/ul>\n\n\n\n<p>If you have questions, please contact your Blue KC representative.<\/p>\n\r\n\t\t\t<div id=\"daexthefu-container\"\r\n\t\t\t\tclass=\"daexthefu-container daexthefu-layout-side-by-side daexthefu-alignment-left\"\r\n\t\t\t\tdata-post-id=\"1012\">\r\n\r\n\t\t\t\t<div class=\"daexthefu-feedback\">\r\n\t\t\t\t\t<div class=\"daexthefu-text\">\r\n\t\t\t\t\t\t<h3 class=\"daexthefu-title\">Was this 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<\/svg>\t\t\t<\/div>\r\n\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"daexthefu-comment\">\r\n\t\t\t\t\t<div class=\"daexthefu-comment-top-container\">\r\n\t\t\t\t\t\t<label id=\"daexthefu-comment-label\" class=\"daexthefu-comment-label\"><\/label>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"daexthefu-comment-character-counter-container\">\r\n\t\t\t\t\t\t\t\t<div id=\"daexthefu-comment-character-counter-number\"\r\n\t\t\t\t\t\t\t\t\tclass=\"daexthefu-comment-character-counter-number\"><\/div>\r\n\t\t\t\t\t\t\t\t<div class=\"daexthefu-comment-character-counter-text\"><\/div>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<textarea id=\"daexthefu-comment-textarea\" class=\"daexthefu-comment-textarea\"\r\n\t\t\t\t\t\t\t\tplaceholder=\"Type your message\"\r\n\t\t\t\t\t\t\t\tmaxlength=\"\r\n\t\t\t\t\t\t\t\t400\t\t\t\t\t\t\t\t\t\"><\/textarea>\r\n\t\t\t\t\t<div class=\"daexthefu-comment-buttons-container\">\r\n\t\t\t\t\t\t<button class=\"daexthefu-comment-submit daexthefu-button\">Submit<\/button>\r\n\t\t\t\t\t\t<button class=\"daexthefu-comment-cancel daexthefu-button\">Cancel<\/button>\r\n\t\t\t\t\t<\/div>\r\n\t\t\t\t<\/div>\r\n\r\n\t\t\t\t<div class=\"daexthefu-successful-submission-text\">Thanks for your feedback!<\/div>\r\n\r\n\t\t\t<\/div>\r\n\r\n\t\t\t","protected":false},"excerpt":{"rendered":"<p>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&#8230;<\/p>\n","protected":false},"author":26,"featured_media":1014,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_helpful_status":1,"_analytify_skip_tracking":false,"footnotes":""},"categories":[2,7,11],"tags":[57],"post-on-community-impact":[],"class_list":["post-1012","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-agents","category-gated-agent","category-employer-resources","tag-agents-employer-group"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Prescription Drug List updates - The Blueprint<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bluekc.com\/blueprint\/agents\/prescription-drug-list-updates-effective-january-1-2024-audience-agents\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prescription Drug List updates - The Blueprint\" \/>\n<meta property=\"og:description\" content=\"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. 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