Some self-medications self-administered specialty drugs, such as injectable, infused, oral or inhaled drugs must be purchased from a participating specialty pharmacy. Florida Blue offers you two choices: Accredo Specialty or CVS Caremark.
Pharmacy | Medical
Pharmacy – Retail & DeliveryHow It Works
Retail Pharmacies
Prime Therapeutics is a national network comprised of thousands of retail pharmacies. The network includes most major chains, discount, grocery and independent pharmacies, so there is a good chance that your local pharmacy is a participating member of the network. To find a local pharmacy, visit www.floridablue.com, log in, and then My Plan and then Pharmacy Resources.
Got Questions?
Please contact your dedicated FL Blue representative 904-390-2323.
Prime Therapeutics
Prime Therapeutics is the current Pharmacy Benefits Manager for Duval County Public Schools and is partnered with Florida Blue to manage our pharmacy benefits.
Home Delivery Pharmacy Services
Save time and money by using your home delivery pharmacy service to fill your prescription. Everything you need to get started is here.
Get Started Here!
Learn how to set up your account here.
Member Services
Visit Florida Blues website, www.floridablue.com to view your plan design and copayment information, search for details on prescription medications, locate a participating pharmacy near you, and manage your home delivery prescriptions. For additional plan inquiries, you may call Member Services directly at 1-800-664-5295. For future reference, this number is listed on the back of your Florida Blue ID card.
Benefits ID Cards
Present your Florida Blue ID card when filling a prescription at the pharmacy. Should you need additional or replacement ID cards, please contact Member Services or visit www.floridablue.com to either request a new card or print a temporary card.
Covered Pharmacy Expenses
Coverage is provided to you for certain Prescription Drugs and Supplies and select Over-the-Counter (“OTC”) Drugs purchased at a Pharmacy.
Responsible Steps Program
The Responsible Steps Program requires the previous use of one or more drugs before coverage of a different drug is provided. If your health plan’s formulary guide reflects that the Responsible Steps Program is used for a specific drug, your physician must submit a prior authorization request form to the health plan for approval. If the request is not approved, please remember that you always have the option to purchase the medication at your own expense.
Click here for a list of drugs included in the Responsible Steps Program.
Prior Authorization
Prior authorization is required on some medications before your drug will be covered. If your health plan’s formulary guide indicates that you need a prior authorization for a specific drug, your physician must submit a prior authorization request form to the health plan for approval. If the request is not approved, please remember that you always have the option to purchase the medication at your own expense.
Quantity Limits
Quantity limits are applied to certain drugs based on the approved dosing limits established during the FDA approval process. Quantity limits are applied to the number of units dispensed for each prescription. If your health plan’s formulary guide reflects that there is a quantity limit for a specific drug, your physician must submit a prior authorization request form to the health plan for approval. If the request is not approved, please remember that you always have the option to purchase the medication at your own expense.
For a list of drugs with quantity limits, please click here.