The Maximum Allowable Cost Price List Weekly Update for Kentucky pharmacies for Feb. 12 is attached to this email.

Commercial, exchange and Medicaid members included

Effective Feb. 3, Express Scripts will be temporarily using the DUR codes in the chart below instead of the conflict codes we originally communicated in the Jan. 31 Network Pharmacy Weekly newsletter.

As a follow up to the notification sent on or around September 15, 2017 advising the Iowa Department of Human Services requiring the pharmacy reimbursement for Amerigroup Iowa Medicaid be modified to include submitted ingredient cost pricing and to remove Federal Upper Limit (FUL) pricing on all brand name drugs. Adjustments have been made to claims processed between April 1, 2016 through December 11, 2017.  

As a follow up to the notification sent on or around September 15, 2017 advising the Iowa Department of Human Services requiring the pharmacy reimbursement for Amerigroup Iowa Medicaid be modified to include submitted ingredient cost pricing and to remove Federal Upper Limit (FUL) pricing on all brand-name drugs, adjustments have been made to claims processed between April 1, 2016 through December 11, 2017.