Patient Safety
The Blue Cross and Blue Shield Service Benefit Plan has a special program to promote patient safety and monitor healthcare quality. The Patient Safety and Quality Monitoring (PSQM) program features a set of closely aligned programs that are designed to promote the safe and appropriate use of medications. Examples of what these programs do include:
Protecting Your Safety
When you have a prescription filled through a Network pharmacy (including Preferred Internet pharmacies), your prescription is automatically checked for potential problems related to:
- Interactions with other medicines you are taking
- Medicines that are inappropriate due to a disease or medical condition
- Medicines that are inappropriate based on age
- Unusually high or low medicine dosage
- Medicine duplication or excessive use
- Refills that are requested too soon
This service uses information stored from your previous prescriptions dispensed from the Pharmacy program. If any of these potential problems arise, the pharmacist may consult with you and your doctor to resolve any questions about the prescription before dispensing the medicine.
We encourage Standard Option members who use the Mail Service Prescription Drug program to complete a Health Assessment Questionnaire to indicate medicine allergies, health conditions, chronic diseases or sensitivity to any medicine. To obtain a Health Assessment Questionnaire, contact the Mail Service Prescription Drug program at 1-800-262-7890.
Specialty Drug Pharmacy Program
Patients on specialty medications used to treat chronic conditions require enhanced care and monitoring of their drugs to make sure they are safe and effective. Administered by injection or through intravenous infusion, they usually require special handling or refrigeration. CVS Caremark will manage the treatment and delivery of these complex medications for our Service Benefit Plan Members.
To learn more about Specialty Drug Pharmacy Program, the Mail Service Pharmacy users can contact CVS Caremark at 1-888-346-3731. CVS Caremark provides access to knowledgeable professionals who know about the various medications used to treat chronic conditions. Retail Pharmacy users can contact CVS Caremark at 1-800-624-5060.
Prior Approval
For certain prescription medicines, the Service Benefit Plan Pharmacy Program must determine whether the medicine is related to a service or condition that is covered under the Service Benefit Plan before benefits can be approved. Go to Fepblue.org for further information and a list of approved drugs.
Contact Information
Call these numbers for additional prescription medicine information or assistance:
Retail Pharmacy Program (Standard Option and Basic Option)
1-800-624-5060
24/7 hours/day, 7 days/week
Mail Service Prescription Drug Program (Standard Option Only)
1-800-262-7890
24 hours a day
7 days a week
Specialty Drug Pharmacy Program (Standard and Basic Option)
1-888-346-3731
Monday – Friday: 7am to 9pm
Saturday & Sunday: 8am to 6:30pm (ET)
Still Have Questions?
Call your local Blue Cross and Blue Shield Plan. The customer service number is on the back of your Service Benefit Plan ID card or use the Contact Us feature on this Web site.
The information provided here is a summary of the Service Benefit Plan benefits. For a complete description, refer to the Benefit Plan Brochure [RI71-005].
The medicine names listed in this publication are the registered and/or unregistered trademarks of third-party pharmaceutical companies unrelated to and unaffiliated with Caremark. These trademarks are included here for informational purposes only and are not intended to imply or suggest any affiliation between Caremark and such third-party pharmaceutical companies.
The 2012 Prescription Drug Benefits information is prepared by Caremark, with approval from the Blue Cross and Blue Shield Association.
Page last updated: January 03, 2012
