VIVA Health, Inc. reimburses pharmacies for the dispensing and administration of vaccines. The following vaccines are covered:

• Commercial: Injectable, Intradermal
• Medicare: Injectable, Intradermal, High Dose

Commercial                                    Med D

RXBIN: 004336                               RXBIN: 004336

RXPCN: ADV                                   RXPCN: MEDDADV

RXGRP: RX7822                              RXGRP: RX7816

*Please see attached PDF for more information.

ATTN: Pharmacists: As of Sept 1st, 2016, Prestige Health Choice will no longer cover prescriptions filled in out-of-state pharmacies. This does NOT include pharmacies within fifty (50) miles of the Florida state line, providing that they hold a Florida Medicaid provider number.  Members will be able to continue filling prescriptions for at least sixty (60) days from the date above. After that date, they will no longer be able to refill their prescriptions at any out-of-state pharmacy.  Prestige will only cover prescription(s) in out-of-state pharmacies in cases of emergency treatment. We regret any inconvenience this change may cause and appreciate your cooperation with this change in the Prestige Health Choice Network. Note*** Pharmacies must hold a valid Florida Medicaid Provider ID to adjudicate claims for Prestige Health Choice Members If you would like more information or have any questions, please call WellDyneRx at 1-855-371-3963. WellDyneRx is the pharmacy benefit manager for Prestige. Cordially, NetCard Systems Retail Network/Contract Manager WelldyneRx RetailManager@NetCardSystems.com

Dear Valued Provider, Effective August 5, 2016, Blue Cross and Blue Shield of Alabama (BCBSAL) will be changing Crestor to a Tier 3 covered drug*. This change is due to more generic versions of Crestor (rosuvastatin calcium) being available on the market. If a Participating Pharmacy submits a claim for Crestor for a Covered Person, the claim will process at a Tier 3 copayment compared to Tier 1 copayment for rosuvastatin calcium.