29

Nov

2018

Prime Therapeutics: Prime Perspective

December 2018: Issue 74

INSIDE

From the auditor’s desk. . . . . . . . . 1

Medicare news/Medicaid news . . 2

Florida news. . . . . . . . . . . . . . . . . . 4

Minnesota news. . . . . . . . . . . . . . . 4

Prime news. . . . . . . . . . . . . . . . . . . 5

Processing Update. . . . . . . . . . . . . 6

Read More...

13

Nov

2018

Express Scripts: Network Pharmacy Weekly

11-08-2018

In this issue Express Scripts reminds pharmacies how to submit claims for "Unbreakable Packages" and includes a reminder about the planned downtime to the point of sale system.

22

Oct

2018

MagellanRx: Return to Stock, Automatic Refills, and Signature Logs

Magellan Special Investigations Unit (SIU) and TennCare Provider Education Department on behalf of the TennCare Pharmacy Program

Based on a recent claims review, Magellan Special Investigations Unit (SIU) identified network pharmacies
which appeared to be inappropriately submitting claims for deceased members.

27

Sep

2018

CVS/Caremark Audit Tips: Bowel Preps

September 26, 2018

Appropriate Billing of Medications

Purpose of communication: The CVS Caremark® Pharmacy Performance Department is providing network pharmacies with basic information on the appropriate billing of Bowel Prep Solutions to help prevent audit discrepancies and non-compliance with the CVS Caremark Provider Manual and Centers for Medicare and Medicaid Services (CMS) requirements.

26

Sep

2018

IMPORTANT INFORMATION REGARDING OptumRx Provider Portal

OptumRx

The OptumRx Provider Portal enables our contracted pharmacies to access tools and resources to help serve patients as well as manage their businesses. This is a one-stop source for providers and pharmacies who write and fill prescriptions.

1234 Last