Important Message On The Change To US-Rx Care

Dear Colleague,

Important Message On The Change To US-Rx Care. In addition to the significant medical premium savings we announced for our BlueCross BlueShield (BCBS) plans for the majority of associates*, we wanted to make you aware of an additional change coming in 2026.

Starting January 1, 2026, associates with BCBS medical coverage will transition from CVS Caremark to US-Rx Care for prescription drug benefits.
This change will deliver high quality service, a broad pharmacy network, and cost-saving programs — all while keeping the plan design the same.

Why We’re Making the Change

We selected US-Rx Care after a thorough review of the leading pharmacy program providers, evaluating service, network coverage, cost and member experience.

What You Need to Know about Prescription Benefits in 2026

• Most Active Prescriptions Will Transfer Automatically
  • You will need to present your new Rx ID Card (which you should receive by the end of December) effective January 1.
  • Specialty medications do not transfer over – if you are on a specialty medication, US-Rx Care will reach out to you.
  • Be proactive – pharmacies likely won’t ask you whether you have a new ID card and may automatically fill your prescription at a higher cost. If the cost doesn’t seem correct, ask questions prior to leaving the pharmacy.
• No Plan Design Changes – Copays, deductibles, and out-of-pocket maximums remain the same as in 2025.
• Pharmacy Choice – You can continue using CVS, Walmart, Walgreens and other pharmacies that are in the 63,000+ pharmacy network. Please note that large chains are often the highest cost pharmacies. You should search your zip code on http://usrxcare.com/usfoods to find the lowest cost option near you.
• Mail Order: Current mail order prescriptions will be transferred to Prescription Mart, US-Rx Care’s contracted mail order pharmacy. 90-day mail order supplies are now optional; you can choose 30-day fills at retail. Follow the instructions in the Benefits Guide to register your mail order prescription after 1/1/2026 to ensure no break in medications.
• Medication Coverage Changes – If your medication moves from a preferred drug to a non-preferred drug, or is no longer covered, US-Rx Care will notify you in writing with alternatives.
• Cost-Saving Programs – US-Rx Care offers tools to help lower your medication costs. If they call you, it is to help you save money.

Next Steps

• Look for your new BCBS/US-Rx Care ID card in the mail (by the end of December) and use it at your pharmacy starting January 1.
• Look out for any communications from US-Rx Care about your medications.
• Review these Frequently Asked Questions (FAQs) for additional information.

– US Foods Benefits Team

*Eligibility for reduced BCBS medical premiums: Associates earning less than $120,000/year and not represented by a union/covered by a collective bargaining agreement.
 

US-RX CARE: NEW US FOODS DRUG ADMINISTRATOR EFFECTIVE 1/1/26 FOR BLUE CROSS BLUE SHIELD PARTICIPANTS

FAQs

• Do I need to move my prescriptions from CVS or current pharmacy?

Most active prescriptions will transfer automatically, but you will need to present your new BCBS/US-Rx Care ID Card to your pharmacy effective January 1. Specialty medications will not transfer over. If you are on a specialty medication, US-Rx Care will reach out to you.

• When will I get my new combined ID card?

New combined BCBS/US-Rx Care ID cards will be mailed after annual enrollment ends, and you should receive them by the end of December.

• What if I don’t receive my new card by January 1?

Go online to www.bcbsil.com and print a temporary ID card starting January 1 or contact a BCBS Health Advocate at 877-284-9293 for assistance.

• Will I still be able to use CVS? What other pharmacies are in-network?

Yes, CVS remains in network. You can also fill your prescriptions at 63,000+ pharmacies nationwide including Walmart and Walgreens. Please note that large chains are often the highest cost pharmacies. Use the pharmacy search tool and enter your zip code at https://usrxcare.com/usfoods to find the lowest cost options near you.

• Will my copays or deductibles change?

No, your 2026 plan design will remain the same as 2025.

• Do I have to use mail order for maintenance medications?

No. Starting January 1, 2026, 90-day supplies are optional. You can choose 30-day fills at retail.

• What happens to my current mail order prescriptions?

Your current mail order prescriptions will be transferred to Prescription Mart (US-Rx Care’s contracted mail order pharmacy). We will notify you if you need to take any action to complete the transfer.

• What if my medication requires prior authorization from a doctor?

Certain medications will require a Prior Authorization (PA) from a doctor. You will have up to three months to complete the PA process while continuing to receive your medication. US-Rx Care will assist you through this process.

• I currently use the CVS diabetes management program. What happens when we transition to US-Rx Care?

You will be able to receive meters and test strips at no cost—detailed information about this transition will be provided in the coming months.

• Who can I contact with questions?

Call US-Rx Care at 877-200-5533 for any prescription benefit questions or visit their website at http://usrxcare.com/usfoods.

Please note: US-Rx Care will not be able to answer specific questions on your prescriptions until the go-live date of January 1, 2026.