Pharmacy Program Quarterly Update – Effective July 1, 2026

May 6, 2026

Applies to All Groups, Fully Insured and ASO*

Review the quarterly pharmacy updates for members with prescription drug benefits administered by Prime Therapeutics^®.

Member notices: Targeted mailings were sent to members affected by drug list revisions and/or exclusions, prior authorization program and dispensing-limit changes.

Note: This is Part 1 of a two-part update. The Part 2 update with coverage additions, utilization management updates and other pharmacy-program updates will be published closer to the quarterly effective date.

Prime Therapeutics, LLC is a separate company Blue Cross and Blue Shield of Texas contracts with to provide pharmacy solutions. BCBSTX, as well as several independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime Therapeutics.

*This article, or a similar version, is being shared with employer groups in the Employer News newsletter or news alert.