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CommercialAdministrativeMedium impact

Pharmacy mail order vendor change effective January 1, 2022 (Commercial only)

Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

Effective January 1, 2022, pharmacy mail order vendors changed for commercial plans only: non-specialty prescriptions moved from Alliance to Express Scripts, and specialty prescriptions moved from Alliance to Accredo. Most existing prescriptions were automatically transferred, but providers must send new prescriptions to the new vendors.

Action Required

Action needed
Immediately: Update EMR systems to e-prescribe maintenance medications to Express Scripts Home Delivery instead of Alliance for commercial plan patients. Update specialty prescription routing to Accredo instead of Alliance. For controlled substances, REMS medications, expired prescriptions, or prescriptions with no refills, send new prescriptions to the appropriate new vendor. Contact Express Scripts at 1-800-211-1456 option 5 for e-prescribing questions, or Provider Service Center at (401) 274-4848 for general questions.