Effective April 1, 2018 Capital Health Plan will implement on-line Coordination of Benefits processing. Capital Health Plan Participating Pharmacies have the capability to process on-line claims for Covered Persons of Capital Health Plan who have a primary insurance in addition to Capital Health Plan.

Pharmacies are reminded to follow all rules and regulations regarding documentation and notification of pharmacist-administered vaccinations.

Healthcare Highways Rx will be adding a new BIN/PCN combo effective May 1, 2018:

Our records show that your pharmacy may have filled a prescription for Vivitrol for a MDwise member within the last 6 months.

This notification is to inform you of point-of-sale (POS) drug utilization review (DUR) edits for opioids that will be enforced for all Commercial plans that process claims through EnvisionRxOptions ("Envision") effective April 01, 2018.