Aetna/Coventry: Certain Medicare Part D Networks- Temporary Access Ending 3/31/2015

Author: Angie Shirley/Wednesday, March 25, 2015/Categories: APCI Choice

TEMPORARILY your pharmacy was able to process claims for all Aetna Part D plans at CVS/Caremark Medicare Part D Network 12 and CVS/Caremark Medicare Part D Extended Days Supply Network 12 in network reimbursement rates. TEMPORARY ACCESS was effective for claims dating back to January 1, 2015. Please be advised that your TEMPORARY ACCESS for certain plans is through March 31, 2015.

This means that effective April 1, 2015 your pharmacy will receive Reject 40 (out-of-network) notices for claims submitted for the Standard and Standard Preferred Networks (Please download the PDF file listed below for more details).

IMPORTANT NOTE: APNS member pharmacies ARE contracted to participate in the following Aetna Medicare Part D networks for 2015: 

Aetna Medicare Rx Premier (PDP):

  • BIN: 61Ø5Ø2
  • PCN: MEDDAET Crosswalk
  • Contract ID: see attached Excel file
  • PBP #: see attached Excel file
  • Applicable States: see attached Excel file

First Health Part D Premier Plus (PDP):

  • BIN:  610014
  • PCN: MEDDPRIME
  • RxGroup: CVTYMED, CVTYRTL
  • Crosswalk Contract ID: see attached Excel file
  • PBP #: see attached Excel file
  • Applicable States: see attached Excel file  

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