Prescription Drugs
Plans and Forms
Greenbush Health
PO Box 127
947 W 47 Highway
Girard, KS 66743
1 800 595-2955
1 620 724-6287 (fax)
drennette.mccracken@greenbush.org
Drennette McCracken
Plan Administrator
Life & Health Insurance Agent
7500355
ResultsRX Prescription Plan Through BCBSKS
Prescription drugs play a vital role in health care and consume a large portion of total health care dollars. Blue Cross and Blue Shield of Kansas takes an active role on behalf of their customers to address the high cost of prescription drugs.
Option A, B and C
Results Rx BlueRx Card - (Copay)
Generic - $15.00 per 30 days, $30.00 per 31-90 days
Preferred Brand - $50.00 per 30 days, $100.00 per 31-60 days,
$150.00 Per 61-90 days
Non Preferred Brand - $75.00 per 30 days, $150 per 31-60 days, $225 per 61-90 days
Blue Rx Mail order (90 Day Supply) 2 1/2 Times Copays
Preferred Specialty - $150.00 per 30 days, / Prime Therapeutics Exclusive Specialty Network
Non-Preferred Specialty - 20% to $1,000 per 30 days, / Prime Therapeutics Exclusive Specialty Network
Option D (QHDP/HSA)
AFTER Deductible is met.
Results Rx BlueRx Card - (Copay)
Generic - $15.00 per 30 days, $30.00 per 31-90 days
Preferred Brand - $50.00 per 30 days, $100.00 per 31-60 days,
$150.00 Per 61-90 days
Non Preferred Brand - $75.00 per 30 days, $150 per 31-60 days,
$225 per 61-90 days
Blue Rx Mail order (90 Day Supply) 2 1/2 Times Copays
Preferred Specialty - $150.00 per 30 days / Prime Therapeutics Exclusive Specialty Network
Non-Preferred Specialty - 20% to $250.00 per 30 days / Prime Therapeutics Exclusive Specialty Network
***In order to print brochures and / or forms please download them first.***
2022 - 2023 ResultsRx Employee Guide
2022 - 2023 ResultsRx Formulary Guide
Link to BCBSKS ResultsRx Search
2022 BCBSKS Prescription Information
2022 BCBSKS Specialty Pharmacy Information
2022 Drug Copay Maximization Information
2022 BCBSKS Medication Covered Under The ACA With No Cost Sharing
Our prescription drug benefit requires you to use Prime Specialty Pharmacy to be eligible for Specialty Pharmacy benefits. Please see the link above or if you have questions about your specialty pharmacy benefit, please call the phone number on your identification card.
(Note: prior authorization and quantity limits may apply).
The above Benefit Summaries are brief summaries of the coverage available under this program. They are not legal documents and the exact provisions of the benefits and exclusion are contained in the actual policy certificates.