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Prescription Changes

Starting March 1, 2014 the following prescription changes will go into effect with BCBS of KC.

These brand name drugs will be moving from Tier 3 ($50 copay) to Tier 2 ($30 copay):

Xarelto (blood clots)

Tecfidera (multiple sclerosis)

Gilenya (multiple sclerosis)

These brand name drugs will be moving from Tier 2 ($30 copay) to Tier 3 ($50 copay):

Dulera (asthma)

Therapy areas requiring step therapy (members must try one or more therapeutic alternatives before using the following drugs. Current utilizing members will be grandfathered on therapy.):

Humira and Enbrel before other Anti-TNF medications (for rheumatic conditions)

For more information:
Contact Joyce Lawson at or call 660-543-4255