Pharmacy Benefits

Prime Therapeutics Logo

The University of Alabama has returned to Prime Therapeutics as our pharmacy benefit management company as of January 1, 2019. This change will better serve our employees with improve customer service, including:

  • One ID card for both medical and pharmacy benefits;
  • One source for all mailed communications;
  • One number to call for 24/7/365 access to Member Services;
  • Single sign-on at myBlueCross website for access to medical & pharmacy claims, drug cost comparison tools, and formulary information.
  • Improved specialty and mail order service with Prime‚Äôs Alliance Walgreens partnership; and
  • Seamless integration between medical and pharmacy claims which is critical because the new High Deductible Health Plan requires real-time accumulation of claims data for both deductibles and out-of-pocket maximums.

Formulary Information: The HDHP and PPO medical plans use the same formulary, the four tiered NetResults 1.0 Drug List for Large Group Plans.

  • Maintenance Drugs are prescriptions commonly used to treat conditions that are considered chronic or long-term. These conditions usually require regular, daily use of medicines. Examples of maintenance drugs are those used to treat high blood pressure, heart disease, asthma and diabetes. View the Maintenance Drug List
  • Specialty Drugs are generally prescribed for people with complex or on-going medical conditions such as multiple sclerosis, hemophilia, hepatitis C and rheumatoid arthritis. These high cost medications also have one or more of the following characteristics: injected or infused, but some may be taken by mouth; unique storage or shipment requirements; additional education and support required from a health care professional; and usually not stocked at retail pharmacies. View the Specialty Pharmacy Drug List

Network Information: To locate an in-network pharmacy, use the Find a Doctor tool provided by Blue Cross and Blue Shield of Alabama. 

PPO Plan Copayments: Retail and Mail Order Copays, this document lists the various PPO plan copays for Tier 1, Tier 2, Tier 3 and Tier 4 drugs.