30

Mar

2017

Express Scripts : Labor First Claims Processing

States of Florida, Massachusetts and New York

Plumbers Local 12 and Laborers Local 17 received new member ID cards. If a member from Plumbers Local 12 and Laborers Local 17 attempts to fill a prescription using their old card, it may reject with any of the following NCPDP reject codes:

17

Mar

2017

CVS Caremark®: Duane Morris - New Implementation

Effective April 1st 2017

Effective April 1, 2017, CVS Caremark® will begin to administer the prescription benefits for Duane Morris.

14

Mar

2017

Express Scripts: Emergency Override for ‘Refill Too Soon’ due to winter storm Stella

Effective immediately: Maryland, New York, New Jersey, Connecticut and Virginia

The governors of Maryland, New York, New Jersey, Connecticut and Virginia have issued states of Emergency due to winter storm Stella.

3

Aug

2016

CVS/Caremark: Network Update

Effective: January 1, 2017

Please see the attached notification from CVS/Caremark regarding amendments to the 2016 Caremark Provider Manual.

29

Jan

2016

CVS/caremark: RXPCN Required WellCare Health Plans

As previously communicated, effective January 1, 2016, CVS/caremark began to administer the prescription benefits for WellCare Health Plans. Beginning January 28, 2016, claims submitted with an incorrect RXPCN will reject with the following or similar message: Reject 85 : <Claim Not Processed> <Submit RxPCN MCAIDADV> To minimize disruption, please update member profiles with this RXPCN. RXBIN: 004336 RXPCN: MCAIDADV RXGRP: Varies by plan/state. Use the information printed on the member’s ID card or see table below. Note : Pharmacy network participation varies by plan and region. Your pharmacy may not participate in all plans for WellCare.

12