CVS Caremark - Copay Override for Breast and Cervical Cancer Patients

Author: Erica Lawrence/Tuesday, December 26, 2017/Categories: APCI Choice

RXBIN: 004336

RXPCN: MCAIDADV

RXGRP: RX8891

WellCare is an existing plan sponsor with CVS Caremark®. Per the Illinois Department of Healthcare and Family Services, members with a diagnosis of breast or cervical cancer should receive a $0 copay on all prescriptions. Pharmacies are asked to override copays at the point of sale for any member with either of these diagnoses. Please enter the appropriate ICD-10 diagnosis code for breast or cervical cancer patients in the Diagnosis Code Field (NCPDP Field 424-DO), and the copay will be overridden to $0. ICD-10 code ICD-10 description.

*Please see attached for more information.

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