IMPORTANT NOTIFICATION

Reminder: Kentucky Medicaid Provider Enrollment Requirement

All prescribers are required to be enrolled as a Kentucky Medicaid provider with the Kentucky Department of Medicaid Services (DMS). 

Dear Pharmacy Provider: On April 1, 2015, Magellan Health, Inc. announced the completion of its acquisition of 4D Pharmacy Management Systems, a privately held, full-service pharmacy benefit manager, which supports commercial and government clients on a national basis including but not limited to managed care organizations, employers, and government-sponsored benefit programs. Effective March 1, 2016, except as noted herein, retail pharmacy claims for 4D will process under the terms and conditions of your Participating Pharmacy Agreement with Magellan Rx Management, Inc. (and/or Magellan Pharmacy Solutions, Inc.) and will no longer process under your contract with 4D. This change, however, will not affect Medicare Part D pharmacy networks currently used by 4D (and thus Medicare Part D claims will continue to process under the existing contract) and a small number of non-Medicare Part D payors.

New Plan Information Effective January 1, 2016, Magellan Rx Management, will assume administrative operation of the Pharmacy Benefit Management (PBM) program for Yancey Bros Co. from the current administrating company, Optum. At that same time, pharmacies will submit claims for payment through the new PBM system. The new system will provide point-of-sale (POS) claims processing.