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Taking your insulin medications as directed and using a blood glucose meter to check your blood sugar levels are vital to your diabetes care.
And if you have Prime Therapeutics (Prime) as your pharmacy benefit manager, you may now pay a lower amount (copay or coinsurance) when buying certain insulin medications and diabetic test strips.
For some members with a BCBSMT health plan offered through their employer, there is now a $25 copay maximum (or cap) for up to a 30-day supply of certain insulin medications. This may apply when you get these insulin drugs at in-network pharmacies or from your home delivery program.
Log in to your Blue Access for MembersSM (BAMSM) or myprime.com account to see how much your insulin may cost.
Members may also now pay a lower cost-share amount when buying certain diabetic test strips at the pharmacy or through the home delivery program.
Log in to your BAM or myprime.com account to see how much your test strips will cost. Depending on your plan, you may now pay a lower cost for some diabetic test strips.
Any dispensing limits will still apply. You may also need to pay an added charge if you use certain pharmacies, such as a non-value pharmacy (for plans on the Value Pharmacy Network) or out-of-network pharmacy (for any plan).
Originally published 3/1/2022; Revised 2022
Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
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