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City of Nacogdoches 2021 Enrollment Guide

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REMINDER:<br />

Effective as <strong>of</strong> 10/1/2019, the city moved to the Performance Formulary Drug Plan. The<br />

plan is designated to drive members to over- the counter products, low cost generic<br />

drugs, or lower cost preferred brand-name drugs.<br />

For some drugs, prior authorizations and step therapy are required.<br />

Compound drugs are excluded. Coverage is only available through an exception review<br />

process only to ensure medical necessity.<br />

Proton Pump Inhibitors (i.e. Nexium, Prilosec, Omeprazole, etc) are excluded due to the<br />

abundance <strong>of</strong> over-the-counter products.<br />

Non-sedating Antihistamines (i.e. Claritin, Zyrtec, Allegra, loratadine, etc) are excluded<br />

due to the abundance <strong>of</strong> over-the-counter products<br />

To see if your prescriptions are covered:<br />

1. Go to www.myprime.com<br />

● click “Find medicines”.<br />

● Register as a user.<br />

● If asked for your drug list, choose “Performance-Annual Drug List”.<br />

● You may also call BCBS at 1-800-521-2227<br />

1. You can Contact<br />

● BXS Insurance at 936-564-1713<br />

● Human Resources at 936-559-2567<br />

8

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