Important information about specialty prescriptions

Effective January 1, 2025, and upon member consent, specialty pharmacy prescriptions for Medicare members currently being dispensed by CarelonRx Specialty Pharmacy will be transferred to BioPlus Specialty Pharmacy.

What happens next?

• Medicare patients received a letter in November explaining this transition. If they provide consent to move to BioPlus, they will receive a phone call from BioPlus to review important information related to their prescriptions.
• If you have Medicare patients who choose to move their prescription, BioPlus will contact you to request new prescriptions, refills, or prior authorizations.
• If you have Medicare patients who choose not to move their prescription, no action is required.

Benefits of working with BioPlus

If your Medicare patients choose to move to BioPlus, here is what you can expect:

• Faster approvals:
• Know in two hours whether your patient’s medication will be filled
• Less paperwork and hassle over benefits verification and appeals
• More help with securing patient financial assistance

CarelonRx, Inc. and BioPlus work together to deliver patients an unparalleled level of high‑tech, high‑touch service that focuses on their whole health.

If you have questions, contact your provider relationship management representative or BioPlus directly at 833‑549-2874.

Through genuine collaboration, we can simplify access to care and help you deliver high‑quality, equitable healthcare.