Blue Cross and Blue Shield of RI

(401) 459-5550, or 1-855-690-2583 (my0blue)

Monday - Friday, from 8:00 a.m. - 5:00 p.m.

Blue Cross and Blue Shield of RI

(401) 459-5550, or 1-855-690-2583 (my0blue)

Monday - Friday, from 8:00 a.m. - 5:00 p.m.

Medical Plan

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Dental Plan

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Effective Date

01/01/2016

Monthly Premium

Improved pharmacy experience with Prime

We understand that controlling prescription drug costs is important. Which is why starting January 1, 2017, we are partnering with Prime Therapeutics to make managing your medicine easier and more affordable.

  • You will receive a new member ID card that you should use starting January 1, 2017. Members who receive prescription drugs through mail order or who have current prior authorizations (PAs) on file with us should continue reading these FAQs for more detailed information.

  • Yes. We will mail you a new ID card that you should use at your pharmacy starting January 1, 2017. It will have the Prime logo on the back of the card.

  • If you have prescription drugs that require a PA, as long as we have a current PA on file, you will not need a new PA until the PA’s renewal date.

  • No, our specialty pharmacy network is not changing. You may continue to receive your specialty drugs from the same pharmacy you are using today. Specialty drugs are a type of prescription drug in our formulary that are generally identified by, but not limited to, features such as being produced by DNA technology, treating chronic or long term disease, requiring customized clinical monitoring and patient support, and needing special handling.

  • Yes. PrimeMail® is Prime’s prescription home delivery pharmacy service. PrimeMail makes it fast and easy to transfer prescriptions, order new prescriptions, and order refills. With PrimeMail, prescription medicines are confirmed for accuracy and quality by registered pharmacists and delivered to your door in plain-labeled packaging.

  • Existing mail order prescriptions will automatically transfer to PrimeMail, but you will need to create a new mail order account with Prime in order to ensure payment and delivery.

    • Existing refillable mail order prescriptions will automatically transfer to PrimeMail. Expired orders and orders for controlled substances will not transfer.
    • To ensure your payment information stays secure, your choice of payment will need to be entered with PrimeMail. Before January 1, you will receive a letter explaining how to set up your mail order account and payment information.
    • Savings: PrimeMail delivers up to a 90-day supply of long-term medicines. This may reduce what you pay out-of-pocket and includes free standard shipping.
    • Convenience: Prescriptions are delivered to the address of your choice, within the U.S.
    • Service: When Prime receives your new prescription or refill request, you will receive notification by email or phone—your choice—when your prescription is received and when your order is sent. Member service agents are available 24/7. Licensed, U.S.-based pharmacists are available seven days a week.
  • Beginning January 1, 2017, you can use any of the following methods to sign up for mail order:

    • Doctor (for faster service)
      Ask your doctor to send your prescriptions electronically or fax a prescription request to Prime at 1-877-774-6360.

    • Online
      Sign into your account at bcbsri.com and click on Go to My Pharmacy Benefits Manager. You will be redirected to Prime where you will click on Fill with PrimeMail. From here, you can view your current prescriptions (pharmacy and mail order) and select which ones to switch. You can also order refills online, track prescription history, and find prescription drug information.

    • Phone
      To refill or transfer a current prescription, Medicare members can call 1-855-457-1205, 24/7; all other members can call 1-855-457-1204. Please have your member ID card, credit card, prescription, and doctor’s contact information ready.

    • Mail
      Mail the prescription with a completed order form, including credit card information, to Prime at the address on the top of the order form. Refill requests may also be mailed with a completed order form. Order forms can be found by logging in at bcbsri.com and clicking on Go to My Pharmacy Benefits Manager. You will be redirected to Prime where you will click on Forms, and then PrimeMail Order Form.


    Important notes:

    • Ask your doctor for a 90-day supply for each of your long-term medicines and to prescribe your drug by its generic name. If you need to start your drug right away, request a prescription for a 14-day supply to fill at your local retail pharmacy.
    • If you set up PrimeMail by phone, online, or mail, Prime will contact your prescriber on your behalf to obtain your prescription and set up mail order. If your prescriber doesn’t respond within five days, or declines, Prime will call you.
    • PrimeMail is not able to fill orders for compound medications.
    • Please provide a phone number where you can be reached during the day. If your medicine is temperature-sensitive, PrimeMail will call you to arrange delivery.
    • Most shipments will arrive about one week after you send in the order. You may track your order’s status by visiting the website described in the “Online” section above. Sometimes PrimeMail needs more information from your doctor before they can fill your order. If your order may be delayed, they will call or email to give you a new delivery date.
    • Estimated shipping costs:
      • Regular: No charge
      • Second business day: $15*
      • Next business day: $22*
    • Prime is available 24/7 to answer any additional mail order questions. Medicare members can call 1-855-457-1205, all other members can call 1-855-457-1204.

    *Please note: The shipping costs shown are estimates; the actual amounts may differ. Overnight and second-day deliveries can only be shipped to a street address (no P.O. Boxes).