4

Apr

2017

Prime Therapeutics : Medicare Specialy Fee Schedule

This communication serves as notice of Prime Therapeutics LLC (Prime’s) intent to amend the reimbursement terms of the Specialty fee schedules effective April 1, 2017.

6

Mar

2017

MeridianRx : New Medicaid and Medicare Client

Effective April 1, 2017

Updates to the MeridianRx Payer Sheet

Effective April 1, 2017, MeridianRx will assume the responsibilities of claims processing for Prescription Cost Management.

4

Jan

2017

OptumRx: Opioid Use Following Buprenorphine (DDI POS Edit)

Effective 1/1/2017

The Center for Medicare & Medicaid Services (CMS) 

OptumRx Medicare Plans

2

Jan

2017

Magellan Health: Change of PBM for Ultimate Health Plans

Effective January 1st 2017

Please see the attached UHP communication.

28

Dec

2016

Argus: Bulletin Communication #44MG16 - 2017 Medicare Opioid Overutilization Edits and POS Override

Effective January 1st 2017

To comply with new regulations from the Centers for Medicaid and Medicare Services (CMS), most Medicare Part D Plans and some commercial plans will be implementing new edits to help manage opioid use within their Medicare populations.

*Please see attached PDF for more information.

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