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.