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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.
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