Friday, July 29, 2011

Medco sending letters to 286,000 BCBSNC members next week

Medco, on behalf of BCBSNC, will send letters to approximately 286,000 members who are currently taking three or more maintenance medications. The letters are scheduled to go out next week. This mailing is an extension of the Therapeutic Resource Center program.

The letters are tailored to address a member’s specific health condition(s). Medco will send letters to members with diabetes, cardiovascular disease, pulmonary disease, cancer, neurological and/or psychological disorders, women’s health issues and general health conditions. Letters to members under the age of 18 will be sent to a parent or guardian.

The letters are further customized based on where the member is in the management of their condition. For example, Medco will send letters to members who are newly diagnosed with a condition, changing therapy for an existing condition, addressing multiple conditions or working to maintain their health.

Medco will not send letters to members in groups that have asked to be excluded from Therapeutic Resource Center initiatives. The Therapeutic Resource Center is a group of pharmacists and benefit specialists employed by Medco who contact members meeting certain criteria and provide prescription drug advice. The goals of this program are to improve medical adherence and reduce costs by encouraging generic and mail order utilization.

BCBSNC has provided sample letters in the following documents.  The first document contains four letters, each for a different stage of care, for members with cardiovascular disease. The second document is a sample of a letter that would be sent to the parent or guardian of a member under the age of 18.

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