Effective January 1, 2018, OptumRx will be enabling an enhanced prescriber DEA license scope of practice check at point of sale for all Schedule II-V controlled medication claims to prevent payment of scheduled medication claims from unauthorized prescribers.

Due to a global issue, incorrect copays returned on claims. Please reprocess any claims that used the above BIN and PCN to get accurate copays.

Effective Jan. 12, Express Scripts clients can participate in a program that will require Estrace® Cream be dispensed over its generic equivalent.

Starting January 1, 2018, some UnitedHealthcare Dual Complete plan members in Arizona, New York and Tennessee will have new member group (Grp) codes for prescription drug or Part D coverage.

Beginning immediately CalOptima’s Medi-Cal Line of Business will require the use of the Patient Residence Code, which is found in field 384-4X of the Commercial NCPDP Payer Sheet, to be listed on ALL CalOptima Medi-Cal claims.