This week's Advocacy Update includes the latest on a federal bill promoting provider status, DIR fees included in HHS nominee confirmation, and more!

As previously communicated, effective January 1, 2017, United Airlines will have a separate ID card for the pharmacy benefit. It will no longer be combined with the medical ID card. There will also be a change to the Rx Group number. Members will be moving from RxGroups RX1168, RX1178, RX1176, RX1177 or RX1178 to RX0403. Please update or create member profiles to reflect the following changes to the pharmacy benefit managed by CVS Caremark®.

*Please see attached PDF for more information.

Hospira, Inc. is voluntarily recalling one lot of Vancomycin Hydrochloride for Injection, USP (NDC: 0409-6510-01, Lot 591053A, Expiry Date November 1, 2017), to the hospital/retail level due to a confirmed customer report for the presence of particulate matter within a single vial. The product is packaged in a carton containing 1x100 mL vial. The lot was distributed from August 2016 through September 2016 in the United States.

Please immediately check your medical supplies, quarantine any of the affected Vancomycin product.

Due to the high volume of new small groups being implemented, Blue Cross and Blue Shield of Kansas City (Blue KC) group activation is taking longer than normal and production and distribution of Blue KC member ID cards are delayed.

Members who are covered under one of these groups but haven’t received their ID cards yet will need to pay for the cost of their healthcare services and/or medications. Then they can submit a claim form to request reimbursement under their Blue KC coverage.

Members can refer questions to their employer, or contact Blue KC at 800.288.1436.

If you need assistance processing a claim, please contact the Express Scripts pharmacy help desk at 800.922.1557.

Dear Valued Provider,
Effective January 1, 2017, Mississippi State and School Employees’ Health Insurance Plan preferred diabetes test strips are Ascencia products. Please see the attachment below for further processing instructions.

If you have questions regarding claims processing, please call the Prime Contact Center at 855.457.0408 .

Sincerely,
Pharmacy Network Management
Prime Therapeutics LLC
Prime Therapeutics Contracting Fax number: 877-823-6373