10

Jan

2017

MedImpact: Commercial Payer Sheet

Please see the attached updated MedImpact Commercial Payer Sheet. This reflects new BIN: 006631.

10

Jan

2017

CVS Caremark: Prescriber Identification Requirements Reminder

REMINDER

As previously communicated by CVS Caremark®, Provider must use the Prescriber’s valid and active NPI. It is not acceptable, at any time, to utilize an invalid NPI which does not represent an individual prescriber (Type 1 NPI).  The following requirements regarding prescriber identification apply to all claims (Commercial, Medicaid and Medicare Part D):  

• The prescriber is valid and active and authorized by state and federal regulatory agencies to prescribe medications 
• The prescriber has a Type 1 NPI which must be submitted on the prescription claim. No other form of prescriber identification will be accepted. Any claim submitted with an invalid NPI will reject, but the appropriate SCC value can be used to override the rejection. This requirement is being applied to all claims since most health care providers are required to obtain and use an NPI as a standard identifier.  
• For controlled substance prescribing, a prescriber must have an active DEA identifier in good standing and have the authority to prescribe a controlled substance in a given DEA drug class schedule (2,2N,3,3N,4,5), but the appropriate SCC value can be used to override the rejection.

6

Jan

2017

OPUS Health - New Programs

OPUS Health would like to inform you of the following new Copay Assistance Program(s) (see list below). This new program can be viewed on the OPUS Health Pharmacy Portal. Please use the link below to log in and select View New or Modified Programs to view the new program. If you have already created an account, use the email address and password you created to log in. If you do not have an account, please click on the link below and select Create Account to register. Registering takes just a minute or two and provides access to this and all active programs ? even some printable offers you can provide for your pharmacy customers.


New Announcements:

·  Crown Laboratories Copay Savings Program OH2201031, OH2201041, OH2201051.

·  Sebela Naftin Copay Program OH2301011, OH2301021.

·  Sebela Onmel Copay Program OH2302011, OH2302021.

·  HLS Therapeutics Clozaril Copay Program OH2101011, OH2101021.

·  Arthrotec Copay Program OH7708211, OH7708221, OH7708231, OH7708241.

·  Caverject Copay Program OH7705011.


http://www.opushealth.com/pharmacyPortal/index.aspx

6

Jan

2017

Express Scripts: Emergency Override for Refill Too Soon in Alabama Due to Winter Storm

The governor of Alabama has issued a State of Emergency to include all counties in the state of Alabama. 
 
Due to this issuance, Express Scripts has implemented Emergency Refill Too Soon Procedures in the above counties in the state of Alabama for Part D and Medicare Advantage plans. Commercial and Health Plans may also implement Emergency Refill Too Soon Procedures, at their discretion.

6

Jan

2017

CVS Caremark: North Carolina State Health Plan for Teachers and State Employees

Effective 1/1/2017 - BIN: 004336 RXPCN: ADV RXGRP: RX0274, RX0275

Effective January 1, 2017, CVS Caremark® began to administer the pharmacy benefit for the North Carolina State Health Plan for Teachers and State Employees. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark.  If you experience issues with eligibility please call the CVS Caremark Pharmacy Help Desk at 1-800-364-6331.
1234 Last