The governor of Georgia has issued a state of emergency for the following counties due to tropical storm Hermine: Appling, Atkinson, Bacon, Ben Hill, Berrien, Brantley, Brooks, Bryan, Bulloch, Burke, Camden, Candler, Charlton, Chatham, Clinch, Coffee, Colquitt, Cook, Crisp, Decatur, Dodge, Echols, Effingham, Emanuel, Evans, Glynn, Grady, Irwin, Jeff Davis, Jefferson, Jenkins, Johnson, Lanier, Laurens, Liberty, Long, Lowndes, McIntosh, Mitchell, Montgomery, Pierce, Richmond, Screven, Seminole, Tattnall, Telfair, Thomas, Tift, Toombs, Treutlen, Turner, Ware, Wayne, Wheeler, Wilcox and Worth. Due to this issuance, Express Scripts has implemented Emergency Refill Too Soon Procedures in the Georgia counties listed above for Part D and Medicare Advantage plans. Effective immediately, if a patient from the disaster area attempts to fill a prescription for lost or damaged medication resulting from the disaster, and the claim rejects with a Reject 79 "Refill Too Soon," the pharmacy should enter override code 91100000001 in NCPDP vD.0 field 462-EV "Prior Auth Number Submitted."

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

This is a reminder that Amerigroup Community Care has made a change to the Preferred Drug List (PDL) in the states of Georgia, New Jersey and Nevada. Likewise, Empire BlueCross BlueShield HealthPlus (Empire) in New York has made a change to its PDL. These changes became effective August 1, 2016. In the table below, medications listed in the left-hand column are no longer included as preferred drugs under the Amerigroup plans in Georgia, New Jersey and Nevada, and under the Empire plan in New York.

This is a reminder that Amerigroup Community Care has made a change to the Preferred Drug List (PDL) in the states of Georgia, New Jersey and Nevada. Likewise, Empire BlueCross BlueShield HealthPlus (Empire) in New York has made a change to its PDL. These changes became effective August 1, 2016.

In the table below, medications listed in the left-hand column are no longer included as preferred drugs under the Amerigroup plans in Georgia, New Jersey and Nevada, and under the Empire plan in New York.

New RXGRP Georgia-Pacific Georgia-Pacific is an existing Plan with CVS/caremark. On January 1, 2016, Georgia-Pacific acquired a small group of plan members from SPG Holdings, RXGRP RX1708. These plan members are currently being re-carded under RXGRP RX7171. In the meantime if you receive the following or similar reject <<Group not effective >>, please try processing the claim with new RXGRP RX7171 RXBIN: 004336 RXPCN: ADV RXGRP: RX7171 Member ID Format: 11 digits, alphanumeric Person Code : 2 digits