Effective September 1, 2025, specialty pharmacies in the Blue Cross and Blue Shield of North Carolina (Blue Cross NC) Hemophilia Network can participate in the new Value Case Incentive program with Free Market Health – and receive compensation for member onboarding and enhanced disease management reporting.
Incentives overview
- $200 for onboarding a member when servicing a new or renewed prior authorization.
- $100 for submitting 100% of monthly disease management reports for a member, per the lifetime of a prior authorization.
- Incentives will be paid quarterly to participating pharmacies through Free Market Health.
Reporting
- Continued requirement: Quarterly disease management reports.
- New opportunity: Monthly reporting per the life of a prior authorization earns a one-time incentive and supports better clinical outcomes.
How it works
- Pharmacies continue to compete for renewed and new prior authorizations for hemophilia medications through Free Market Health’s care-driven marketplace platform.
- Monthly reporting helps identify fraud, waste, and abuse, improves compliance, and reduces costs, all driving towards improved patient care.
About Free Market Health
- Launched October 1, 2023, for fully insured commercial members, Free Market Health provides a care-driven marketplace platform to direct members to the Blue Cross NC contracted specialty pharmacy that can meet their specialty drug needs at the lowest cost possible.
- Free Market Health’s care-driven marketplace platform gives more specialty pharmacies the opportunity to access and fill specialty prescriptions that they previously could not.
- Learn more about Free Market Health.
Questions?
- Pharmacies with questions about the program can contact Free Market Health directly for support.
