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New Copay Assistance Program for Certain Specialty Drugs Launching Jan. 1, 2027
Act
by Jan 1, 2027
Effective date
Jan 1, 2027
Identified
Oct 21, 2026
Summary
Highmark is launching the Copay Armor Medical program on January 1, 2027, which provides copay assistance for eligible members receiving high-cost, provider-administered specialty drugs. Billing teams must be prepared to submit secondary claims to manufacturers after receiving Highmark's primary payment, with no upfront action required unless contacted by HelpScript. A complete medication list will be shared in upcoming communications.
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What to do
by Jan 1, 2027 · 4 steps
01Billing and clinical staff should prepare to receive contact from HelpScript Patient Advocates regarding member enrollments in the Copay Armor Medical program.
02Upon HelpScript contact, providers must be ready to: (1) confirm member enrollment details provided by HelpScript; (2) submit primary medical drug claims to Highmark following standard procedures; (3) after receiving the Provider Remittance Advice (RA) or Explanation of Payment (EOP), submit secondary claims to the manufacturer for copay assistance payment; and (4) allow 14-21 business days for payment processing.
03Monitor Highmark's mailing list for the complete list of affected specialty medications and additional program guidelines.
04No billing system changes are required at this time, as the program operates as a secondary benefit outside standard pharmacy copay processes.
Original notice
New Copay Assistance Program for Certain Specialty Drugs Launching Jan. 1, 2027
providers.highmark.com · Always check the source before changing claims.