Healthy Blue currently uses passive alerts for DUR therapy duplication edits. Effective December 1, 2017, soft block edits will be implemented and claims will reject with NCPDP reject 88 "DUR Reject Error".

In accordance with the Centers for Medicare & Medicaid Services (CMS) 42 CFR 423.120(c)(3), Medicare Part D sponsors require their network pharmacies to submit claims to the sponsor or its intermediary whenever the Part D member ID card is presented or is on file at the pharmacy, unless the member expressly requests the claim not be submitted.

Effective January 1, 2018, CVS Caremark® will begin to administer the prescription benefits for Molex Employer Group Waiver Plan

Effective January 1, 2018, CVS Caremark® will begin to administer the prescription benefits for Hanover County.

Effective January 1, 2018, CVS Caremark® will begin to administer the prescription benefits for Black Knight.