Effective August 1, 2016, many Plan Sponsors began to reimburse pharmacies for the dispensing and administration of vaccines. Please note that the vaccines covered can vary on a Plan Sponsor-by-Plan Sponsor basis. This communication provides a list of participating plan sponsors as of August 30, 2016. NOTE: The information provided in this notice is intended to assist participating Providers with claim submission. If you do not participate and do not intend to participate in a particular client-specific or other contracted vaccine administration network, please disregard this information. Claims Submission Information When submitting administered vaccines claims to CVS Caremark, utilize “MA code processing” and NCPDP fields 44Ø -E5 and 438-E3. As a reminder—pharmacists are required to be certified and/or trained to administer vaccines. Please check with individual state boards of pharmacy to determine if pharmacists can administer vaccines in your respective state(s).

As a reminder, CVS Caremark® is dedicated to assisting Providers and Eligible Persons in response to emergencies resulting from natural disasters, severe weather, etc. where medical records are either destroyed or not accessible. In the event of a presidential (or other governmental) emergency declaration, CVS Caremark will allow an override code to override the refill-too-soon edit. Allowances for non-Medicare Part D plans may vary by Plan Sponsor. By calling the Pharmacy Help Desk, Provider will be connected to the appropriate staff member who can provide: • An emergency override code per claim for an excessive utilization, or "refill-too-soon" reject when a beneficiary does not have a recently filled medication due to loss from severe weather or other emergency • The type of medication a beneficiary was taking prior to the emergency and other pertinent information, such as prescribing physician, dosage, quantity, days supply, etc. Call the appropriate Pharmacy Help Desk number provided on the left or other plan-specific Pharmacy Help Desk number as indicated on the back of the member’s ID card.

West Virginia Medicaid Aetna Better Health of West Virginia Effective October 1, 2016, CVS Caremark® will begin to administer the prescription benefits for Aetna Better Health of West Virginia. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark. RXBIN: 610591 RXPCN: ADV RXGRP: RX8838 Member ID Format: 11-14 digits Person Code: Not required

In this issue: Appropriate Billing of Medications • The CVS Caremark® Pharmacy Performance Department is providing its Network Pharmacies with a reminder regarding your pharmacy’s contractual requirements with respect to accurate claims billing and dispensing. This information will assist your pharmacy in complying with the CVS Caremark Provider Agreement (which includes the Provider Manual) and to prevent audit chargebacks. • The CVS Caremark Audit Department is providing basic information on appropriate billing of the triptan category of medications to help prevent claim discrepancies. • If you have any questions or concerns related to this topic, please contact the Pharmacy Audit department at 1-866-465-2508.

New Implementation UPDATED 8-31-16 Effective September 1, 2016, CVS Caremark®will begin to administer the prescription benefits for Passport Health Plan. Please update or create plan member profiles to reflect the following changes regarding the new plan adjudicating through CVS Caremark. RXBIN: 004336 RXPCN: ADV RXGRP: RX6420 Member ID Format: 8 digits, numeric Person Code: Not required Sheets: For additional claim processing information, refer to the CVS Caremark Payer Sheets at www.caremark.com/pharminfo > NCPDP Payer Sheets.