Dear Pharmacy Provider: On February 26 2016, an issue was identified for Independence Blue Cross Medicare Part D (IBCMEDD) plans regarding benefit stage qualifier fields and benefit stage amount fields being sent to the secondary payer. Because these fields were blank, the secondary payer could not coordinate benefits and pay the claim as secondary. This issue has been resolved as of 2/28/2016; please submit any claims to the secondary payer that could have experienced a rejected claim due to the BSQ and BSA fields.

The Catamaran Therapeutic Dose Limits (THERDOSE) screening within the concurrent DUR program applies safety edits that minimize the risk of medication overutilization.

Catamaran is noticing a trend of cases coming in that require pharmacy education for cost exceeds limit rejection.

In order to process the members’ prescription(s) promptly, please refer to the information below: