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Is your prescription plan working for you — or for itself?
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Employees can waive the enrollment fee in March when they join Fitness Your Way®
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GLP-1 drugs and weight management: What employers should know
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Supporting employees through every stage of their diabetes journey
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Action required by March 27 — CAA drug cost reporting for calendar year 2025
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Is your prescription drug plan working for you — or for itself?
When an insurer owns the pharmacy, the drug manufacturer, and the benefit manager, it's fair to ask: who's really calling the shots on your employees' prescriptions? A growing number of employers are asking exactly that and rethinking their pharmacy benefits as a result. Find out how a conflict-of-interest-free approach can mean lower costs, more flexibility, and health plan decisions driven by your goals, not someone else's bottom line.
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Employees can waive the enrollment fee in March when they join Fitness Your Way®
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Fitness Your Way
takes the stress out of finding time to exercise. Not only do they have a digital-only fitness package, but their gym membership gives members the option to join any of the 13,000+ gyms nationwide. And throughout the month of March, employees who join a Fitness Your Way gym membership can waive the enrollment fee with promo code FYWPROMOMAR26.
Offer is good through March 31, 2026. |
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Fitness Your Way is by Tivity Health, Inc.® On behalf of Capital Blue Cross, Tivity Health, Inc. assists in the administration of fitness programs. Tivity Health is an independent company.
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GLP-1 drugs and weight management: What employers should know
As demand for GLP-1 medications grows, Capital carefully evaluates how these drugs are managed by weighing cost, clinical effectiveness, quality, and appropriate use. This balanced approach helps employers address employee interest in GLP-1s while supporting sustainable health outcomes and long term affordability.
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Supporting employees through every stage of their diabetes journey
According the Centers for Disease and Prevention (CDC), over 40 million Americans have diagnosed and undiagnosed diabetes, and an additional 115 million Americans have prediabetes. Employees managing diabetes or prediabetes face real health challenges, and having the right support can help them feel better, stay engaged, and get more out of their coverage.
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As part of your Capital plan, your employees have access to free or low-cost digital programs designed to help them prevent, manage, or even reverse Type 2 diabetes — all from home or on the go. Through partners like Omada and Virta, covered employees can access personalized coaching, blood sugar management support, and healthy weight resources that can lead to lasting results.
It's a meaningful benefit that many employees may not know they have. Sharing it with your team is a simple way to demonstrate that their health and well-being matter and help them take full advantage of the coverage you've chosen for them.
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Action required by March 27 — CAA drug cost reporting for calendar year 2025
Capital Blue Cross will submit reports in compliance with the Drug Cost Reporting Provision of the Consolidated Appropriations Act (CAA). Capital’s form is now open for you to submit your group-specific data for the calendar year 2025 Drug Cost Reporting submission.
We recently mailed a letter to groups who had Capital medical coverage at any point during the 2025 calendar year to advise how to submit your data by our deadline of March 27, 2026. How you submit data using the forms is based on your group’s size and/or plan structure in 2025:
Fully insured groups of all sizes and small business ASO (self-funded) groups with less than 100 employees: Capital will be submitting data on behalf of groups with fully insured or small business ASO plans. We will combine the information you provide with other required data about your group before we submit the report for all our small business ASO and fully insured groups to the federal government.
Large ASO groups with 100 or more employees and groups of under 100 employees that get coverage through a consortium: While Large ASO groups may file their own Drug Cost Reporting data to directly to the federal government and are not required to file through Capital Blue Cross, we are offering this option as a convenience to large ASO groups that choose to submit their data to Capital by March 27.
Groups with both a large ASO plan and a small business ASO or fully insured plan during the 2025 calendar year: These groups will need to complete the form twice — once for the time they were designated as a large group ASO and once for the time you were designated as a small business ASO or fully insured group.
Please check the “Drug cost reporting” tab on our CAA webpage to see what steps we’re taking to complete this submission, see what action is needed, and verify Capital’s reporting submission date (once available). If you have questions about this reporting requirement, please consult your legal counsel. Other questions can be directed to your producer or your account executive.
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© 2026 Capital Blue Cross
All Rights Reserved
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2500 Elmerton Avenue
Harrisburg, PA
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Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association serving 21 counties in Central Pennsylvania and the Lehigh Valley. Communications issued by Capital Blue Cross in its capacity as administrator of programs.
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