New 2025 pharmacy care model
Transforming the traditional pharmacy benefit manager model
Blue Shield has launched a first-of-its-kind pharmacy solution founded on cost transparency, a simplified member experience, and access to more affordable medications. By working with best-in-class vendors committed to pricing transparency, we can negotiate unnecessary costs out of the system to drive greater efficiencies.
While our new pharmacy model aims to be disruptive in the market, the member experience is designed to be seamless. From understanding benefits to switching prescriptions to mail order, the updated Blue Shield portal empowers members with easy-to-find information and effective decision-support tools.
Blue Shield’s digital tools make it easy for members to manage prescription costs and access affordable drugs.
Enhanced digital pharmacy experience for members
Learn more (PDF, 40 KB)
Pricing tool
Members can easily compare costs with our pricing tool and see ways to save on prescriptions, including switching to a generic or other medication.
Pharmacy locator
Guides members to nearby network pharmacies, as well as those offering lower-priced medication options.
Push notifications
Sent to opted-in members when a more affordable alternative drug is available for their prescription.
Redesigned dashboard
Makes it simple for members to view benefits, copays, and track their medical and pharmacy costs.
Amazon Pharmacy for home delivery
Learn more: Commercial/IFP | Medicare
Prescription drug home delivery transitioned to Amazon Pharmacy on January 1, 2025. CVS retail pharmacies remain in network and CVS will continue to provide specialty pharmacy services.
Information on getting started with Amazon Pharmacy home delivery can be found here: Commercial/IFP | Medicare
New ID cards issued
Learn more (PDF, 159 KB)
All members with pharmacy benefits will receive information about the change and a new 2025 Blue Shield ID card with updated reference numbers for their pharmacist.
Members began receiving new ID cards in October 2024.
For members with a Blue Shield digital ID, their cards will be automatically updated in their online account and mobile app, including in Apple® Wallet.
