9

Feb

2018

Prime Therapeutics Claims Processing Outage Notification

Saturday February 10, 2018 11:00 p.m. to Sunday February 11, 2018 1:00 a.m. (Central Time)

Due to system maintenance at Prime Therapeutics, our claims processing system will be unavailable for claims adjudication during the time frame listed below.

Saturday February 10, 2018 11:00 p.m. to Sunday February 11, 2018 1:00 a.m. (Central Time) 

16

Jan

2018

Blue Cross and Blue Shield of Alabama: TEMPORARILY LIFTS EDIT ON COMPOUNDED TAMIFLU

Blue Cross and Blue Shield of Alabama: TEMPORARILY LIFTS EDIT ON COMPOUNDED TAMIFLU

APNS just received notice from Blue Cross and Blue Shield of Alabama (BCBSAL), they are lifting their edit for compounded Tamiflu due to a shortage on the suspension. The edit is subject to change based on availability. For any questions you may have, please contact Prime Therapeutics directly at 1-800-216-9920.


16

Nov

2017

PRIME THERAPEUTICS: INFORMATION FOR HMO BLUE® TEXAS NETWORK

Effective 1/1/2018

Beginning January 1, 2018, Prime Therapeutics, LLC (“Prime”) will be limiting the HMO Blue® Texas Network to pharmacies located within the state of Texas.

13

Mar

2017

IMPORTANT: APNS Members Now Contracted for Staywell & Molina Health Plan in Florida

On March 10, 2017, APNS signed an agreement with CVS Caremark that will allow APNS pharmacy members to fill prescriptions for STAYWELL and MOLINA health plans. This agreement should be active for prescription processing on or around March 17th. 

A special THANK YOU for the extensive efforts that were provided legislatively and to all pharmacies who took the time to communicate their message to ensure their continued service to all Medicaid patients.

8

Mar

2017

Cigna HealthSpring - Reimbursement Issues

BIN: 017010 PCN: CIHSCARE

APNS has received numerous inquiries regarding drastic reductions in Cigna HealthSpring reimbursement.  We have notified OptumRx of this issue and will post any updates or information we receive.

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