8

May

2017

Express Scripts : Update to Network Provider Manual

There are two changes to the Express Scripts Network Provider Manual outlined below.

21

Apr

2017

Aetna : Upcoming changes to our prescription drug lists

Effective July 1, 2017

As of July 1, 2017, we’re making changes to our prescription drug lists.

10

Mar

2017

OptumRx : Insulin Administered Via an Insulin Pump Requires Plan Review for UnitedHealthcare Medicare Advantage

To help ensure claims for insulin are paid under the correct benefit, we want to remind you to please notify the prescriber and the member that a plan review is required for short-acting insulin administered in a pump to process under the Part B benefit for UnitedHealthcare Medicare Advantage members.

3

Jan

2017

OptumRx: Cigna - HealthSpring Medicare Plans

Effective January 1st 2017

Effective January 1, 2017, Cigna-HealthSpring will be making formulary changes for Medicare and Medicaid products that may impact customers at your pharmacy.

*Please see attached PDF for more information.

2

Jan

2017

OptumRx: Health Alliance Connect - Four Script Limit Prior Authorizations

Effective January 1st 2017

Effective 1/1/2017, Health Alliance Connect (Managed Medicaid) members will transition to traditional Medicaid. Health Alliance has not had a four prescription limit in place for Health Alliance Connect members. However, members who transition to traditional Medicaid will have the four prescription limit implemented. HFS wants pharmacies to be aware that they can initiate prior authorization for former Health Alliance Connect members who reach the four prescription limit. Please inform HFS that the patient is a former Health Alliance Connect member to help expedite these requests.

Please note, Health Alliance Medical Plans will continue to provide pharmacy coverage for a number of other plans through 2017 and beyond.

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