Ohio Medicaid Buckeye Community Health Plan, Inc. dba Buckeye Health Plan Note: Additional information included on page two. As previously communicated by US Script and CVS Caremark®, Buckeye Health Plan began using the CVS Caremark pharmacy network on April 13, 2016, while claims processing and payment remained with US Script. This notice is to inform you that effective September 1, 2016, CVS Caremark will begin to process claims for Buckeye Health Plan. All claims for Buckeye Health Plan will now be reimbursed according to your CVS Caremark Network Enrollment Forms and be paid according to CVS Caremark processing rules and payment cycles, which will appear on your CVS Caremark 835 or remittance advice. Please update or create plan member profiles to reflect the claims processing changes and note new phone numbers included in this communication. RXBIN: 004336 RXPCN: MCAIDOH RXGRP: RX5434 Member ID Format: 12 digits

As previously communicated by CVS Caremark, effective May 20, 2016, the generic for Crestor became available in the marketplace; however, select Medicare Part D Plans (listed below) continued to cover the brand name Crestor at the Preferred Brand Tier and the generic, rosuvastatin calcium was NOT covered. Effective August 26, 2016, both brand Crestor and generic, rosuvastatin calcium will be payable on the formularies for the plans listed below.

Molina Healthcare of Ohio RXBIN 004336 RXPCN MCAIDOH RXGRP RX0714, RX0718, RX0759, RX0761, RX0854, RX0855, RX0867 Molina Healthcare of Ohio is an existing client with CVS Caremark®. Effective for dates of service on or after June 6, 2016, Ohio Medicaid covers insect repellent in response to the urgent public health issue associated with the Zika virus. Insect repellent is covered for any Medicaid consumer when appropriate to aid in preventing infection with the Zika virus. A prescription for insect repellent from an eligible Medicaid Prescriber is required for coverage.

CareSource RxBIN: 004336 RxPCN: MCAIDOH RxGRP: RX0797 CareSource is an existing client with CVS Caremark®. Effective for dates of service on or after June 6, 2016, Ohio Medicaid covers insect repellent in response to the urgent public health issue associated with the Zika virus. Insect repellents that contain DEET or pericaridin are covered for any Medicaid consumer when appropriate to aid in preventing infection with the Zika virus. A prescription for insect repellent from an eligible Medicaid Prescriber is not required for coverage.

South Carolina MedicaidAbsolute Total Care, Inc. Note: Updated information is included on page two. As previously communicated by US Script and CVS Caremark®, Absolute Total Care began using the CVS Caremark pharmacy network on May 2, 2016, while claims processing and payment remained with US Script. This notice is to inform you that effective September 1, 2016, CVS Caremark will begin to process claims for Absolute Total Care. All claims for Absolute Total Care will now be reimbursed according to your CVS Caremark Network Enrollment Forms and be paid according to CVS Caremark processing rules and payment cycles, which will appear on your CVS Caremark 835 or remittance advice. Please update or create plan member profiles to reflect the claims processing changes and note new phone numbers included in this communication. RXBIN: 004336 RXPCN: MCAIDADV RXGROUP: RX5433 Member ID Format: 10 digits, numeric