Synch Your Meds, Save Time and Money

Blue Cross and Blue Shield of Nebraska Outlines New State Prescription Rule

The Nebraska Legislature has approved a state rule that allows Nebraskans who take multiple prescription medications to fill the prescriptions on the same day. This feature is called synchronization of medications and helps minimize the number of trips you will need to make to the pharmacy to pick up prescription medications. 

If a drug is eligible for synchronization, Blue Cross and Blue Shield of Nebraska (BCBSNE) members may pay a prorated cost share for one or more prescription maintenance medications when a partial supply is needed to synchronize the fill date of all of their medications. Maintenance medications are those used for the treatment or management of a chronic illness.  

For example, let’s say a member has been taking a 30-day supply of Drug A and paid the full cost share for that drug.

Seven days later, the member needs a 30-day supply of Drug B. When they pick up the prescription for drug B and pay the full cost share for that drug, they may also pick up a seven-day supply of Drug A and pay a prorated cost share for Drug A. Then, 30 days later, when both drugs have all been taken, they may pick up both medicines on the same day, pay the full cost share amounts for both drugs and continue this every month for as long as they need both drugs.

That process synchronizes the medicines, and thus the pharmacy trips, saving the consumer time and expense.

By state rules, medications may be synchronized if they: 

  • Are covered by the member’s health care plan;
  • Meet the prior authorization or utilization management criteria (if needed);
  • Treat a chronic illness;
  • Can be safely split into short-fill periods;
  • Are not a Schedule II controlled substance (drugs that have a high potential for abuse).

Members of the Educators Health Care plan that use Blue Cross and Blue Shield of Nebraska should speak with their pharmacist if they would like to sync medications. 

If plan members have any questions about this program, please contact Blue Cross and Blue Shield of Nebraska’s Member Services department at the number on the back of your BCBSNE member identification card.