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UC PPO Plan Pharmacy Coverage Will Transition to IngenioRx

(This article was edited July 2019.)

May 2019

Your prescription drug coverage will soon transition from Express Scripts to IngenioRx, Anthem’s new pharmacy benefit manager. This means all your medical and prescription benefits will be managed by Anthem Blue Cross, including specialty medications.

Both Medicare and non-Medicare plans will transition to IngenioRx, but the timing is different for each:

  • Non-Medicare PPO plans already transitioned to IngenioRx on July 1, 2019.
  • Medicare PPO plans will transition to IngenioRx on January 1, 2020. Medicare members will receive more information in fall 2019. There is no action needed at this time.

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

Medicare members

There is no action needed at this time.

Non-Medicare members

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.

Prepare for changes to mail order and specialty prescriptions. 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

As of July 1, 2019, IngenioRx Home Delivery Pharmacy is the new mail order service for non-Medicare members. Existing authorizations and refills transferred over to IngenioRx.

 

Non-Medicare members: 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. Non-Medicare members should visit anthem.com/ca, or call Pharmacy Member Services at (833) 261-2463. 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

Non-Medicare members 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 Care Team at (833) 255‐0645.

 

Prescriptions and prior authorizations for non-Medicare members have been automatically transferred to IngenioRx. If there are any issues, the Care Team will work with your doctor to ensure a smooth transition.

 

Non-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. Non-Medicare members should visit anthem.com/ca > Pharmacy, or call the Specialty Pharmacy Care Team at (833) 255‐0645. You need to update:

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