The IBC Pharmacy Network

Independence Blue Cross contracts with FutureScripts® Secure to provide Medicare Part D prescription benefit management services, and an extensive pharmacy network — with more than 65,000 pharmacies.

The network includes:

  • national chain and independent retail pharmacies;
  • long-term care and home-infusion pharmacies;
  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Program pharmacies.

IBC has contracts with pharmacies that meet or exceed Centers for Medicare & Medicaid Services (CMS) requirements for pharmacy access in your area.

In order to receive benefits through the plan, prescriptions generally must be filled at a network pharmacy.

Find a network pharmacy
To locate or confirm that a pharmacy is currently in our network:

Download a 2012 Pharmacy Directory

  • If you are already a member, call Customer Service at the number printed on the back of your ID card, seven days a week, 8 a.m. to 8 p.m. However, please be aware that on weekends and holidays from February 15 through October 14, your call may be sent to an answering machine.
  • If you are not yet a member, call us at 1-877-393-6733 (1-877-219-5457 for the speech- and hearing-impaired), seven days a week, 8 a.m. to 8 p.m.

Out-of-network coverage
Covered Part D drugs are available at out-of-network pharmacies in special circumstances, including illness while traveling outside of the plan’s service area where there is no network pharmacy. We will cover your prescription at an out-of-network pharmacy if at least one of the following applies:

  • If the prescriptions are related to care for a medical emergency or urgent care;
  • If you are unable to obtain a covered drug in a timely manner within our service area because there are no network pharmacies within a reasonable driving distance that provide 24-hour service;
  • If you are trying to fill a prescription drug that is not regularly stocked at an accessible network retail or mail-order pharmacy (including high-cost and unique drugs).

You may have to pay more than your normal cost-sharing amount, and will likely have to pay the pharmacy’s full charge for the drug and submit documentation to receive reimbursement.

We cannot pay for any prescriptions that are filled by pharmacies outside the United States, even for a medical emergency.

How to submit a paper claim
When you go to a network pharmacy, your claim is automatically submitted to us by the pharmacy. However, if you go to an out-of-network pharmacy for one of the reasons listed above, the pharmacy may not be able to submit the claim directly to us. When that happens, you will have to pay the full cost of your prescription. When you return home, simply submit a claim form and your receipt.

Please call Customer Service for more information on paper claims or to request a form.

To request a reimbursement, please use the PDF icon Direct Member Reimbursement Form.

To request a reimbursement specifically for a vaccine and/or a vaccine administration fee, please use the PDF icon Vaccine and Administration Direct Member Reimbursement Form.

Mail order pharmacy service
You can use our network mail order pharmacy service to fill prescriptions for any drug on our formulary. Generally, it takes us 10 to 14 days to process your order and ship it to you. You are not required to use our mail order services to get an extended supply of mail order drugs, but you may be able to save money by doing so. You can also get an extended supply through some retail network pharmacies.

If you are a member and have questions, call Customer Service at the number listed on the back of your ID card, 8 a.m. to 8 p.m., seven days a week. However, please be aware that on weekends and holidays from February 15 through October 14, your call may be sent to an answering machine.

You must continue to pay your Medicare Part B premium.

The Medicare Contract is renewed annually, and the availability of coverage beyond the end of the current year is not guaranteed.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change January 1, 2013. Members may enroll in the plan during specific times of the year. Contact the plan for more information. Please reference the Evidence of Coverage for information on premiums, cost-sharing, out-of-network coverage, rights and responsibilities upon disenrollment and any applicable conditions associated with using the plan benefits, as well as limitations, copayments, and restrictions. Members must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply.

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
  • The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or
  • Your State Medicaid Office.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.”

You must use plan providers except in emergency or urgent care situations or for out-of-are renal dialysis or other services. You must use plan providers except in emergency or urgent care situations or for out-of-are renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Keystone 65 HMO or Personal Choice 65 PPO will be responsible for the costs.

Please contact Keystone 65 HMO or Personal Choice 65 PPO Customer Service for more information.

Y0041_HM_12_300a Pending CMS Approval

Search the 2012 IBC Drug Formulary to see if a drug is covered.
Search the 2012 IBC Drug Formulary
Find a network pharmacy near you.
Find a network Pharmacy