Reminder: Group Prescription Drug List Change
Many plans moved to prescription drug list (PDL) 40 on July 1, 2019, or upon renewal thereafter. Please see the chart below and communicate this drug coverage change to your group.
Pre-ACA plans are discontinuing in 2019. Impacted groups will know their new PDL when they select a new plan. In the next few days, we will mail a reminder of the PDL change to impacted group leaders and members who renewed on a different plan in September through November 2019. Impacted groups who are renewing in December 2019 and January 2020, will be notified during their renewal process.
Product Line | Effective dates prior to July 1, 2019 | Effective dates on or after July 1, 2019 |
Small group, pre-ACA (2-50 employees) | PDL 10 | See new product line as pre-ACA ends Jan. 1, 2020 |
Small group, ACA (2-50 employees) | 2018: PDL 61 2019: PDL 62 |
2019: PDL 62 2020: PDL 63 |
Small group, level-funded (5-50 employees) | PDL 10 | PDL 40 |
Mid-size group (51-150 employees) | PDL 10 | PDL 40 |
Large group, fully-insured (151+ employees) | PDL 10 | PDL 40 |
If you have questions about this information, please contact your insurance agent/broker or a member of your Blue Cross and Blue Shield of Nebraska account management team.