24

May

2017

CVS/Caremark: Submitting Correct Quantities

When processing prescriptions, note the dispensing unit used by the pharmacy system and adjust the quantity accordingly.

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24

May

2017

CVS/Caremark: Patient Pay Amounts Reminder

The CVS Caremark Pharmacy Performance Department is providing network pharmacies with a reminder regarding your contractual requirements with respect to collection of Patient Pay Amounts and maintaining documentation of proof of payment.

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24

May

2017

CVS/Caremark Audit Tips: Top 20 Commonly Misbilled Drugs

The CVS Caremark® Pharmacy Audit Department is providing its network pharmacies with basic information on the appropriate billing of the top twenty (20) medications identified as being misbilled to help prevent audit discrepancies and non-compliance with the Caremark Provider Manual.

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31

Jan

2017

CMO Open Enrollment and New CMO Contracts - Georgia Medicaid

Effective: July 1, 2017

Beginning July 1, 2017, the Georgia Families® program will provide members a choice of four Care Management Organizations (CMOs): Amerigroup, CareSource, Peach State Health Plan, and WellCare. 
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10

Jan

2017

CVS Caremark: 2017 Aetna Leap plans ─ Texas

Effective: 1/1/2017 RXBIN: 610502 RXPCN: AETCRXC Member ID format: 12 bytes numeric

On January 1, 2017, we’ll launch new individual plans, called Aetna Leap plans, in Texas. We won’t offer other pre-65 (non-Medicare) Aetna or Coventry individual products in this market. Some members will be moving from Aetna individual plans to Aetna Leap plans for 2017. 
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