CommercialReimbursementMedium impact
Reminder: Final drug reimbursement adjustment for commercial products
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Apr 1, 2019
We identified it
Jun 20, 2026
Summary
BCBSRI is implementing the final drug reimbursement adjustment for commercial products, increasing reimbursement to 106% of ASP (Average Sales Price) effective April 1, 2019. This matches the existing reimbursement rate for Medicare Advantage products and will be updated quarterly with current ASP values.
Action Required
Before April 1, 2019: Billing team should verify the updated fee schedule is posted on bcbsri.com and update internal reimbursement expectations for BCBSRI commercial drug products to reflect 106% of ASP. Note that Medicare Advantage products already reimburse at this rate.