Anthem Blue Cross patients with HIV/AIDS may “opt-out” of a program that would have required them to obtain their medications by mail order under a settlement announced by Consumer Watchdog and Whatley Kallas LLC.
The lawsuit, filed in January in San Diego Superior Court, alleged that Blue Cross’s mandatory mail order program announced late last year illegally targeted HIV/AIDS patients, threatening their health and privacy.
Download the lawsuit filed by Consumer Watchdog and Whatley Kallas here.
Download the settlement here.
Due to the complex nature of HIV/AIDS drug regimens, patients rely on their local pharmacists who, working directly with patients, monitor potentially life-threatening adverse drug interactions. Pharmacists also provide essential advice and counseling that help HIV/AIDS patients and families navigate the challenges of living with a chronic and often debilitating condition.
HIV/AIDS patients also expressed serious concerns about a loss of privacy associated with the proposed mail order program. For example, HIV/AIDS specialty medications often are delivered in refrigerated containers. Patients who live in apartment buildings or have medications delivered to their work place expressed concern that neighbors and co-workers who were not aware of their condition would come to suspect that they were seriously ill. Mail-order shipment also presents the risk of lost or stolen medications.
As a result of the settlement, any current Blue Cross member prescribed HIV/AIDS medications, and any member prescribed those medications in the future, have an unconditional right to opt-out of the Blue Cross mail-order program at any time. Blue Cross members who opt-out can continue purchasing such medications at a retail pharmacy.
Beginning June 1, Blue Cross members will be able to opt-out of the mail-order program by contacting Blue Cross’s mail-order pharmacy, CuraScript, on a dedicated toll-free telephone line. Consumers currently prescribed such medications should receive a letter late next week from Blue Cross providing this telephone number and additional instructions for opting-out. Blue Cross members may also submit a claim for reimbursement of any out-of-pocket costs incurred as a result of enrolling in the CuraScript mail-order program between December 1, 2012 and May 31, 2013.
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