9

Sep

2015

Maybe the Third Time is a Charm

The 2015 2nd Special Session of the Alabama Legislature convened on Tuesday night is hopes of passing a General Fund Budget, which the Legislature has failed to accomplish in the Regular and 1st Special Sessions this year.

30

Jul

2015

Alabama Medicaid Bulletin - Major Change

July 2015

MAJOR CHANGE: Effective for check writes July 24, 2015, and thereafter, Providers’ 835 electronic remittance advices will NOT be available to providers immediately following the check write.

5

Jun

2015

Prime Therapeutics: Blue Cross and Blue Shield of Alabama Coverage Change for Non Part D Compound Prescriptions

Effective: July 1, 2015

Effective July 1, 2015, Blue Cross Blue Shield of Alabama will be changing the coverage criteria for Non Part D compound claims.

14

Apr

2015

Prime Therapeutics: Processing Update for Generic Adderall XR® for Covered Persons of Blue Cross Blue and Shield of Alabama

Effective: 5/1/2015

Effective May 1, 2015, generic Adderall XR® (Amphetamine-Methamphetamine SR) will not be covered by Blue Cross and Blue Shield of Alabama until multiple manufacturers become available or the price decreases. The innovator product Adderall XR® will remain on the Blue Cross formulary. Coverage of Adderall XR® will be dependent on the member’s benefit.

6

Mar

2015

Prime Therapeutics: Blue Cross and Blue Shield of Alabama - Concerta (Methylphenidate ER)

Claims Processing Update for Blue Cross and Blue Shield of Alabama Covered Persons

Effective March 1, 2015, Covered Persons of Blue Cross and Blue Shield of Alabama will experience higher co-pay or coinsurance costs with prescription claims for generic Concerta (Methylphenidate ER). This medication will cause the Covered Person’s co-pay or coinsurance to be greater than normal because it is considered to be a branded product and will process at a brand rate. Please see the attachment below for more information.
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