- P = Professional
- B = Behavioral health
- F = Facilities
Pharmacy
P B F
Dec 1, 2021
Non-specialty pharmacy
A new preferred home delivery pharmacy and/or a new option for certain membe...
P F
Nov 1, 2021
As a reminder authorization requests for drugs listed in our Medical Coverage Policy, Prior Authoriz...
P B F
Nov 1, 2021
Effective January 1, 2022, Prime will begin to mail correspondences to the prescribers primary pract...
P B F
Nov 1, 2021
Non-Specialty Pharmacy
A new preferred home delivery pharmacy and/or a new option for certain membe...
P B F
Oct 1, 2021
The formulary changes noted below are effective as of October 1, 2021 and apply to all commercial BC...
P F
Aug 1, 2021
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Jul 1, 2021
The information below is effective July 1, 2021 and applies only to the individual market segment in...
P B F
Jul 1, 2021
The information below is effective July 1, 2021 and applies to all commercial employer groups that a...
P F
Jun 1, 2021
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Apr 1, 2021
The information below is effective as of April 1, 2021 and applies to all commercial BCBSRI products...
P F
Apr 1, 2021
The following Commercial MDR drugs will require step therapy through a biosimilar effective 4/1/21:
...
P
Mar 1, 2021
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P B F
Aug 1, 2020
BCBSRI offers home delivery option or an extended supply network pharmacy for new prescriptions or r...
P F
Aug 1, 2020
The following codes are being added to Medicare MDR with a 10/1/20 effective date (effective 10/1/20...
P F
Jun 1, 2020
Due to the COVID-19 pandemic, BCBSRI has extended all clinical authorization approvals by Prime Ther...
P F
May 1, 2020
Effective May 1, 2020, Lifespan employee group will begin covering medical specialty drugs under the...
P F
May 1, 2020
As part of our ongoing efforts to make high-quality and affordable healthcare available to our membe...
P F
Dec 1, 2019
As part of the annual formulary development and management process, the next scheduled update of the...
P B F
Oct 1, 2019
As part of our standard formulary management process of implementing formulary updates twice per yea...
P F
Oct 1, 2019
Effective December 1, 2019, BCBSRI will begin requiring prior authorization for an expanded list of ...
P F
Aug 1, 2019
As of October 1, 2019, for commercial members, the drugs listed below will move from the specialty p...
P
Aug 1, 2019
Effective July 1, 2019, both PCSK-9 products for cholesterol management—Repatha and Praluent—became ...
P
May 1, 2019
Pharmacy benefit coverage for Commercial members will be updated effective May 1, 2019 to include co...
P
Apr 1, 2019
The BCBSRI Commercial formulary for April is now available. You can view the summary that provides d...