Effective January 1, 2017, CVS Caremark® will begin to administer the prescription benefits for JBS. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0349

Member ID Format: 9 digits, numeric only

Person Code : 2 digits, required

Card images are not available at this time.

Patient Pay Amount                       Please rely on the claims system to determine the correct amount to collect from the plan member, if applicable

      Vaccine                                       JBS will participate in the CVS Caremark Vaccine Administration Network. The following vaccines will be covered:

                                                • Seasonal: Trivalent, Quadrivalent, Short Needle, Flublok, Fluzone

                                                            • Non-Seasonal: Zostavax, Pneumonia

Submit the proper "MA" code in field 440-E5 of the DUR/PPS Segment along with a positive incentive fee amount in Field 438-E3 of the Pricing Segment when administering vaccines.

Effective January 1, 2017, CVS Caremark® will begin to administer the prescription benefits for Focus Brands. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0407

Member ID Format: 9 digits, numeric only

Person Code: 2 digits, required

*Please see attached PDF for more information.

*Please see attached PDF for more information.

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.

As a result of this issuance, Express Scripts has implemented Emergency Refill Too Soon Procedures in the State of South Carolina, and the Georgia counties listed above for Part D and Medicare Advantage plans. Commercial and Health Plans may also implement Emergency Refill Too Soon Procedures, at their discretion.

*Please see attached PDF for more information.