Diabetic Drugs and Supplies Update
As a reminder, the Affordable Care Act (ACA) requirements do not override previous NYS mandates, they are in addition to them. Diabetic drugs and supplies will continue to be covered under the medical contract.
Please be sure to thoroughly review your groups benefits to ensure they understand how their benefits will be adjudicated under the new SimplyBlue Plus product they have chosen. For diabetic drugs and supplies, they may receive a 30 day supply at retail with 1 copayment, or 90 days at 3 copayments by mail order.
All other drugs: Our plans on and off the Exchange for Individuals and Small Groups provide drug coverage for 30 days at retail with 1 copayment, and 90 day mail order at 2.5 copayments.
More prescription drug information to share with your groups