As a follow up to the notification sent on or around September 15, 2017 advising the Iowa Department of Human Services requiring the pharmacy reimbursement for Amerigroup Iowa Medicaid be modified to include submitted ingredient cost pricing and to remove Federal Upper Limit (FUL) pricing on all brand-name drugs, adjustments have been made to claims processed between April 1, 2016 through December 11, 2017.

In accordance with Kentucky MAC law (Ky.Rev.Stat.Ann. §304.17A-162), the following is a list of products for which CVS CaremarkTM MAC adjustments have been made with retroactive effective dates as a result of granted MAC appeals.

In accordance with Kentucky MAC law (Ky.Rev.Stat.Ann. §304.17A-162), the following is a list of products for which CVS CaremarkTM MAC adjustments have been made with retroactive effective dates as a result of granted MAC appeals.

This notice is being sent to notify you of changes for the TennCare pharmacy program. We encourage you to read this notice thoroughly and contact Magellan’s Pharmacy Support Center (866-434-5520) should you have additional questions.

This notification is being sent to all in-network contracted OptumRx Providers as required by Kentucky State Legislature.