21

Sep

2018

Amendment to 2018 Caremark Provider Manual: Coupons and Other Programs sub-section

Caremark has previously notified Providers that Pharmaceutical Manufacturer Coupons from Affordable Medication Solutions or RetainRx were specifically disallowed to be utilized to reduce Eligible Person Patient Pay Amounts and their use would be deemed to be a non-allowed waiver of copayment (see May 18, 2017 Communication below). Coupons from Phoenix PBM and all associated programs including, but not limited to, The Association for Precision Pharmacy Services and Arena Health Foundation are not allowed to be used on Claims submitted to CVS Caremark.

27

Aug

2018

Prime Perspective: Quarterly Pharmacy Newsletter from Prime Therapeutics LLC

September 2018: Issue 73

INSIDE THIS ISSUE

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

Medicare news/ Medicaid news. . . . . . . . . . . . . . . . 2

HCSC news. . . . . . . . . . . . . . . . . . . 4

Florida news. . . . . . . . . . . . . . . . . . 5

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

MAC list updates . . . . . . . . . . . . . . 5

Read More...

1

Aug

2018

Express Scripts: Network Provider Manual Update- Operations/Federal Regulatory Handbook, the State Regulatory Handbook and the Summation of Changes

Express Scripts has made some updates to their Network Provider Manual.  Please see the attachments for a summary of the changes and a copy of the new manuals.

27

Jul

2018

OptumRx: UnitedHealthcare Compound Code Required on Medicare Pharmacy Claims

Effective 08/01/2018

Effective 08/01/2018, UnitedHealthcare will no longer accept Compound Code of "0" indicating "Not Specified" on Medicare pharmacy claims.

26

Jul

2018

OptumRx: Provider Manual Update

Effective Date 07/23/2018

Effective Date 07/23/2018

In our efforts to continue to collaborate on the delivery of quality healthcare to our Members, we hereby inform you of the revised OptumRx (ORx) Provider Manual ("Manual"), which replaces and supersedes the previous version of ORx’s Manual.

1234 Last