Important Administrative Information (IAI) is a quarterly mailing that delivers the latest news about Blue Cross Blue Shield of Massachusetts products and services to employers and consultants.
Current Editions:
Announcing Upcoming Webinars
We’re excited to announce upcoming webinars in our account webinar series, which allow your organization’s leadership and human resources teams to learn more about your health plan benefits from our subject matter experts. Learn more.
Important updates to HIV PrEP medication coverage
To comply with the latest ACA preventive services requirements, we’ve made important updates to HIV PrEP medication coverage. These updates apply to Fully Insured and Self-Insured accounts. Learn more.
Required out-of-pocket costs for select medications that treat chronic conditions
Effective on each account’s plan renewal beginning July 1, 2025, the Commonwealth of Massachusetts is requiring all fully insured and municipality accounts to implement specific out-of-pocket costs for members who are prescribed select medications to treat certain chronic conditions. Learn more.
Effective July 1, 2025, changes to the Blue Cross Blue Shield of Massachusetts formulary and medical policy updates
Effective July 1, 2025, we’re updating our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´ plans* with a three-tier pharmacy benefit. Learn more.
Effective July 1, 2025, medical policy change for the Blue Cross Blue Shield of Massachusetts formulary
Effective July 1, 2025, we're updating a medical policy for our formulary (list of covered medications) for medical plans with pharmacy benefits, as well as Medex®´ plans1 with a three-tier pharmacy benefit. Learn more.
Effective July 1, 2025, changes to the Standard Control with Advanced Control Specialty Formulary
Effective July 1, 2025, CVS Caremark®', an independent company that administers your pharmacy benefits on behalf of Blue Cross Blue Shield of Massachusetts, is updating their formulary (list of covered medications) for select self-insured plans (500+) with the Standard Control with Advanced Control Specialty Formulary. Learn more.