Effective March 31, 2010, Blue Cross and Blue Shield of NC is implementing a new outbound call program for group members with pharmacy benefits through BCBSNC.  This new program is conducted by the Therapeutic Resource Center, a group of pharmacists and benefit specialists employed by Medco, who will call members who meet certain criteria, and provide expertise and advice on prescription drugs.  The program is intended to improve medical adherence and reduce plan costs by encouraging the use of generic drugs and mail order services.

Program Criteria
The Therapeutic Resource Center will begin calling today (March 31) to all group members who: (1) are taking three or more maintenance medications, and (2) have been diagnosed with Cardiovascular Disease, Pulmonary Disease, Neuro-Psych Disorder, or Diabetes, or are taking a specialty drug.  (NOTE: Specialty drugs generally have unique uses, require special dosing or administration, are typically prescribed by a specialist provider and are significantly more expensive than alternative drugs or therapies. They are generally considered high-cost injectable, infused, oral, or inhaled drugs that require close supervision and monitoring.)

The calls are intended to specifically address members with adherence issues or omissions of therapy issues, as well as members who are new to a particular therapy.

How the Calls Work
Pharmacists or benefit specialists will identify themselves as “Medco calling on behalf of BCBSNC” and will work with the member to answer any questions or concerns they may have regarding their medications.  If a benefit specialist is making the call, they will ask if the member would like to speak to a pharmacist during the beginning of the call.  Pharmacists can address side effect and safety concerns, as well as any other question the member may have about their medication. They will also remind the member of the advantages of purchasing a 90-day supply through mail order.

Questions?
Should you have any further questions regarding this new program, please contact our office at 919-403-1986.