Prescription Drug List updates effective January 1, 2025
The Blue Cross and Blue Shield of Kansas City (Blue KC) Medical and Pharmacy Management Committee has completed its quarterly review of the Prescription Drug Lists (PDL) and other pharmacy programs for drug safety, effectiveness, clinical outcomes, and cost.
The following groups will see PDL updates, effective January 1, 2025.
Large employer groups (100+)
- Select PDL routine updates
- Premium PDL routine updates
Non-ACA small employer groups (2-99, including level-funded ASO)
- Premium PDL routine updates
ACA small employer groups
- Missouri Essential Health Benefits PDL routine updates
- Kansas Essential Health Benefits PDL routine updates
Communications to groups and members
- Impacted large employer groups will receive an email the week of November 25. Impacted small employer groups will receive a letter that will mail the week of November 18. Read the email and letter content.
- Impacted members will receive a letter appropriate to their prescription change by December 1.
If you have questions, please contact your Blue KC representative.
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