Caremark has previously notified Providers that Pharmaceutical Manufacturer Coupons from Affordable Medication Solutions or RetainRx were specifically disallowed to be utilized to reduce Eligible Person Patient Pay Amounts and their use would be deemed to be a non-allowed waiver of copayment (see May 18, 2017 Communication below). Coupons from Phoenix PBM and all associated programs including, but not limited to, The Association for Precision Pharmacy Services and Arena Health Foundation are not allowed to be used on Claims submitted to CVS Caremark.

Express Scripts has made some updates to their Network Provider Manual.  Please see the attachments for a summary of the changes and a copy of the new manuals.

Effective Date 07/23/2018

In the "Medicare Part D" section (beginning on page 57), the Information on CMS-10147 Pharmacy Notice subsection is deleted in its entirety and replaced with the following: