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Pharmacy - An Affordable Benefit

With the continued dramatic discoveries of new drugs, novel treatments and increase in medical costs, it is important that hospitals and physicians meeting broadly accepted quality standards be rewarded for their efforts. Blue Cross in California are leading insurance providers that puts its efforts nationwide to better realign provider incentives to promote quality care.

For many years, Californian members have relied on Blue Cross-of California (BCC) for coverage of safe and effective prescription medications, which encourage good health while providing an affordable benefit .Prescription drug benefits are administered through Well Point Pharmacy Management (WPM), which is the wholly owned Pharmacy Benefits Management (PBM) company owned by blue cross in California. Blue Cross-of California (BCC) prescribes drug benefits, which promotes greater flexibility to manage overall health care cost.

he ability to review both medical and pharmacy claims allows for integrated clinical programs that help reduce rising prescription drug costs and facilitate comprehensive management programs. Prescription drug benefits, often tied to a preferred drug list, provide our members with safe and cost-effective treatment options, while ensuring access to non-preferred, yet medically necessary medications.

Our expansive selection of prescription drug plans provides choice, versatility and affordability. Prescription drug benefits and clinical programs vary widely between benefit designs. This section is a reflection of general administration and is intended for informational purpose only. It is not a guarantee of coverage, as some policies do not provide pharmacy benefits. Benefits are implemented according to the provisions outlined in the member's Evidence of Coverage (EOC). Blue Cross-in California are making as part of their goal to keep healthcare affordable.