Test kits that do not require a doctor’s order or a lab to read the results are considered over-the-counter (OTC). Beginning Jan. 15, 2022, there will be a $0 cost share for up to eight individual OTC COVID-19 tests per member per 30 days. This applies to all fully-insured and self-funded groups that utilize BCBSNE’s pharmacy benefits manager, Prime Therapeutics, as well as individual health plan members. This does not apply to Medicare Advantage, Medicare Supplement or Medicare Part D members.

The current list of eligible OTC COVID-19 tests is below. Only these tests are eligible for reimbursement. Tests purchased prior to Jan. 15, 2022, are not eligible for reimbursement.

Blue Cross Blue Sheild Flier:  Over-the-counter (OTC) COVID-19 Testing

Eligible OTC COVID-19 Tests:

 NDC/UPC    Brand Name
 Tests/ Pack
 56964000000     ELLUME COVID-19 HOME TEST                            1
 11877001140     BINAXNOW COVID-19 AG CARD HOME TEST      2
 50021086001     ELLUME COVID-19 HOME TEST                            1
 08337000158     INTELISWAB COVID-19 RAPID TEST                     2
 14613033968     QUICKVUE AT-HOME COVID-19 TEST                   5
 14613033972     QUICKVUE AT-HOME COVID-19 TEST                   2
 60006019166     ON/GO COVID-19 ANTIGEN SELF-TEST                2
 82607066026     FLOWFLEX KIT HOM TEST                                     1

Our pharmacy benefits manager, Prime Therapeutics, has established a preferred network of pharmacies to support members in obtaining at home tests without member cost share. This network includes approximately 65,000 pharmacies nationwide. These preferred pharmacies can bill OTC COVID-19 tests directly to your insurance, resulting in no cost to you.

Click On Below Link:
**View The List OF Participating Nebraska Pharmacies

Tests purchased from a non-preferred pharmacy, online retailer or retail store can be submitted for reimbursement through the pharmacy paper claims process for OTC COVID-19 tests. These claims will be reimbursed at a maximum of $12 per individual OTC COVID-19 test. For example, a box that includes two tests would be reimbursed at a maximum of $24. Shipping and tax are not reimbursable.

Click on CovidTest.gov Link:

Beginning Jan. 19, 2022, free tests will also be available to order at CovidTests.gov

COVID-19 testing for public surveillance or employment purposes is not covered. This includes testing for work, school, travel and other public surveillance reasons, unless reimbursement becomes required by law.