4

Nov

2016

Prime Therapeutics: Blue Cross and Blue Shield of Texas STAR Kids Medicaid Program

Effective November 1st 2016

Effective November 1, 2016, Prime Therapeutics (Prime) began processing pharmacy claims for eligible BCBSTX STAR Kids Covered Persons.

Processing Requirements

To ensure uninterrupted service to Participating Pharmacies and Covered Persons, please use the following information to setup your system prior to the effective date of 11/1/2016.

*Please see attached PDF for more information.

3

Nov

2016

Prime Therapeutics: Blue Cross and Blue Shield of Texas - Claims Processing Issue

BIN: 011552 PCN: BCTX

Dear Valued Provider,

Participating Pharmacies may be experiencing claim rejections when trying to process claims for Covered Persons of Blue Cross and Blue Shield of Texas (BCBSTX).

Action Required:

Eligibility for these Covered Persons is currently being updated and expected to be corrected this evening. If you have a Covered Person with an urgent claim to be processed, please advise the Covered Person to call the Customer Service number on the back of their ID card.

Please communicate this information to your pharmacies to prevent further disruption of service for these Covered Persons.

Sincerely,

Pharmacy Network Management

Prime Therapeutics LLC

7

Oct

2016

Prime Therapeutics: Natural Disaster Override - BCBSIL, BCBSMT, BCBSNM, BCBSOK, and BCBSTX

Dear Valued Provider,

Due to Hurricane Matthew making landfall on the East Coast, Prime Therapeutics (Prime) has implemented its Natural Disaster Relief protocol to assist our clients and their Covered Persons in the affected areas.

Covered Persons of Blue Cross and Blue Shield of Illinois (BCBSIL), Blue Cross and Blue Shield of Montana (BCBSMT), Blue Cross and Blue Shield of New Mexico (BCBSNM), Blue Cross and Blue Shield of Oklahoma (BCBSOK), and Blue Cross and Blue Shield of Texas (BCBSTX) may experience difficulty obtaining new prescriptions or refills for lost medication or medications left behind when evacuating their homes.

*Please see attached PDF for more information.

6

Oct

2016

Prime Therapeutics: Blue Cross and Blue Shield of Texas STAR Kids Medicaid Program

Effective November 1st 2016

Effective November 1, 2016, Prime Therapeutics (Prime) will begin processing pharmacy claims for eligible BCBSTX STAR Kids Covered Persons.

*Please see attached PDF for more information.

30

Nov

2015

Prime Therapeutics: Blue Cross and Blue Shield of Texas STAR and CHIP

Effective: December 1, 2015

Dear Pharmacy,

Effective 12/1/2015, Prime Therapeutics (Prime) will begin processing pharmacy claims for

eligible BCBSTX STAR and CHIP Covered Persons

12