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UC PPO Plan Pharmacy Coverage Transitioned to IngenioRx

(This article was edited January 2020.)

May 2019

On January 1, 2020, your prescription drug coverage transitioned from Express Scripts to IngenioRx, Anthem’s new pharmacy benefit manager. This means all your medical and prescription benefits are managed by Anthem Blue Cross, including specialty medications.

Prescription drugs for both the Medicare and non-Medicare plans have transitioned to IngenioRx.

Key Things to Know

No changes to your benefits, copays or drug formulary. You’ll continue to pay the same amount you do today.

Pharmacy specialists 24/7. With IngenioRx, you’ll have a team of pharmacy specialists available to you 24/7, online tools to use from anywhere, and access to your health and prescription drug benefits in one place at anthem.com/ca

Keep your pharmacy. It’s expected that virtually all members can continue using their current pharmacy, including UC Medical Center pharmacies. In the event your current pharmacy is not in the new network, Anthem will contact you directly. You can also call Anthem Health Guide at (844) 437-0486.

What You Need to Do

Use your current ID card. Your current card includes the new pharmacy information. As always, be sure to present your ID card whenever you use a new pharmacy or fill a new prescription. You can also view your ID cards anytime on the UC Vita™ (Engage Wellbeing) app.

Update your mail order and specialty pharmacy information. Active refills for prescriptions with the Express Scripts mail service or the specialty pharmacy, Accredo, have been automatically transferred to IngenioRx. However, there is important information to know about each.

If You Use Mail Order for Medications

IngenioRx Home Delivery Pharmacy is the new mail order service. Existing authorizations and refills as of January 1, 2020, were transferred over to IngenioRx.

 

Ask your doctor to resend prescriptions to the IngenioRx Home Delivery Pharmacy for the following medications:

  • Prescriptions that are expired or have no refills
  • Controlled substances (federal law does not allow us to transfer these prescriptions)
 

Be sure that your personal information is correct. Go to anthem.com/ca, or call the Anthem Medicare Prescription Drug Member Services team at (833) 279-0460. You need to update:

Your mailing address and phone number

 

Payment information, credit card or checking account information

 

Your enrollment for automatic refills

 

If You Use Specialty Medications

You should have received a call from an IngenioRx Specialty Care Team member to discuss your prescriptions and care plan. If you missed the call, you can contact the Anthem Medicare Prescription Drug Member Services team at (833) 279-0460.

 

Prescriptions and prior authorizations were automatically transferred to IngenioRx. If there are any issues, the Anthem Medicare Prescription Drug Member Services team will work with your doctor to ensure a smooth transition.

 

Medicare members managing a rare disease: You may be connected with a nurse from the Anthem Specialty Condition Management program. This nurse will answer your questions about medications or managing your disease. You also have pharmacists, social workers and other Care Team members to assist you.

Be sure your information is correct. Visit anthem.com/ca > Pharmacy, or call the Anthem Medicare Prescription Drug Member Services team at (833) 279-0460. You need to update:

  • Your mailing address and phone number
  • Payment information, credit card or checking account information