Dec 04, 2024
Formulary, benefit, and network changes are standard updates for the start of a plan year. With Blue Shield of California’s Pharmacy Care Reimagined initiative there are additional changes with impacts to our members beginning in 2025.
Beginning in 2025, Navitus will manage the retail pharmacy network. As Blue Shield optimizes this network, some independent pharmacies in the current CVS Pharmacy® retail network may not meet the stricter retail network participation criteria, or may simply choose not to contract with Navitus.
Some reductions to the pharmacy network are unrelated to the transition to a new network manager and are a result of market dynamics that have seen an increase in the number of retail pharmacy locations closing across the country.
Regardless of the reason, members impacted by the pharmacy network change for 2025 will be notified in advance and provided guidance for transferring prescriptions to an in-network option. For members with limited retail pharmacy options, Amazon Pharmacy home delivery can be an option for both convenience and cost.
Blue Shield's Pharmacy Network page will continue to be updated with relevant information.
