OAKLAND, Calif. (August 17, 2023) – Blue Protect of California now declared a new pharmacy treatment model that is intended to repair issues in today’s damaged prescription drug process. The nonprofit wellness prepare is reworking how remedies are ordered and supplied to its 4.8 million customers by picking organizations that share Blue Shield’s vision for much more economical and clear pharmacy products and services.
Today’s announcement is a major milestone in Blue Shield’s Pharmacy Treatment Reimagined initiative, which will assist supply its users with hassle-free, transparent accessibility to remedies when reducing costs. Once Blue Shield’s multi-12 months strategy is totally implemented, the health and fitness program expects to save up to $500 million in annual drug prices.
Most American adults choose at minimum a single prescription drug on a yearly basis, with extra than a 3rd of grown ups taking at the very least a few medicines per year. Currently a substantial price, whole prescription drug shell out in the United States is continuously soaring. In 2021, the American health care method used much more than $600 billion on prescription prescription drugs – about $1,500 for every man or woman, for each yr.
The present pharmacy treatment system rewards some stakeholders for promoting far more drugs at higher expenditures. Blue Shield is trying to get to renovate the process into a benefit-based model that presents users with the medications they want at a more reasonably priced charge.
“The present pharmacy program is very pricey, enormously complicated, entirely opaque, and intended to optimize the earnings of participants instead of the quality, comfort and charge-performance for individuals,” claimed Paul Markovich, president and CEO of Blue Protect of California. “That is why we are functioning with like-minded associates to create a wholly new, extra clear procedure that will get the right medication to the appropriate persons at the proper time at a considerably decreased charge.”
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In today’s present-day pharmacy source chain, there can be up to a dozen providers associated in the system from when a drug is produced to when a member receives it. Some can insert complexity and price tag with out including value or furnishing transparency into the rationale for their pricing. To simplify the process and slash unwanted costs, Blue Defend has chosen 5 firms with like-minded philosophical and technological know-how benchmarks to construct a new, modern model following regulatory acceptance. With each other, Blue Shield will supply an built-in, coordinated, and holistic pharmacy experience to its users.
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- Amazon Pharmacy will give quickly and no cost shipping of prescription remedies, finish with status updates, as effectively as upfront pricing and 24/7 obtain to pharmacists.
- Mark Cuban Expense Plus Drug Corporation will establish a basic, clear, and a lot more very affordable pricing model, cutting down surprise drug prices at the pharmacy select-up counter.
- Abarca will pay out prescription drug promises rapidly and precisely while continuing to evolve its technologies system, Darwin, to guidance new, simplified payment styles.
- Primary Therapeutics will function with Blue Shield to negotiate discounts with drug brands to transfer towards a price-dependent product that aligns drug costs to affected individual efficacy and overall health results.
- CVS Caremark will give specialty pharmacy solutions for customers with advanced ailments, together with instruction and high-touch patient aid.





“Amazon Pharmacy is thrilled to be part of Blue Defend of California in their energy to assist members get the drugs they will need, when they have to have them, at a price they can afford,” claimed John Adore, vice president of Amazon Pharmacy. “With the aid of Amazon’s upfront pricing, on-time shipping and delivery, and spherical-the-clock entry to scientific treatment, we can give a consumer-centric pharmacy knowledge that supports much better overall health results.”
“Our business was created on a commitment to provide clear and reasonably priced prescription medications to all people, and we are thrilled to collaborate with Blue Defend of California to adjust this component of the health care process in such an impactful and significant way,” mentioned Alex Oshmyansky, founder and CEO of Mark Cuban Expense Additionally Drug Business. “We hope some others will follow in the energy to fix this convoluted and inefficient prescription drug offer chain.”
Blue Protect has a verified monitor report of advocating for medicine price and drug pricing reform via general public policy initiatives and several collaborations, which include Evio Pharmacy Options, Gemini Well being, CivicaScript, and Synergie Medicine Collective. Pharmacy Treatment Reimagined is element of the ongoing Health and fitness Reimagined tactic, Blue Shield’s ground breaking program to rework the healthcare process and make it deserving of our pals and family members and sustainably cost-effective.
About Blue Shield of California
Blue Protect of California strives to create a healthcare procedure worthy of its spouse and children and buddies that is sustainably cost-effective. Blue Defend of California is a tax paying, nonprofit, impartial member of the Blue Shield Association with a lot more than 4.8 million associates, about 7,500 staff and much more than $24 billion in once-a-year revenue. Launched in 1939 in San Francisco and now headquartered in Oakland, Blue Protect of California and its affiliates deliver wellbeing, dental, vision, Medicaid and Medicare healthcare company strategies in California. The enterprise has contributed more than $97 million to Blue Shield of California Basis in the past a few many years to have an impact on California communities. For additional news about Blue Defend of California, make sure you visit news.blueshieldca.com. Or follow us on LinkedIn, Twitter, or Fb.
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