About APCI

APCI logo

Not a member?
Join today!

(800) 532-2724

Since 1984, APCI has been the ‘united voice of independent pharmacy’

APCI began as a small buying group for a limited number of independent pharmacies in central Alabama. Since that time, the cooperative has grown to more than 1,800 members pharmacies in 26 states, and provides its members with a wide range of products and services.

Our mission is to represent the economic and professional interests of independent pharmacies by providing leadership, vision, and a collective voice for our members in the healthcare marketplace. Our goal is to level the playing field for our member pharmacies by providing innovative, targeted programs to benefit our entire membership.

5

Jan

2017

OptumRx: Cigna Morphine Equivalent Dose Limit POS Edit (MEDLIMIT)

Effective January 1, 2017, CMS will require Medicare plan sponsors to limit the daily cumulative dose of opioid products a member may obtain at Point of Sale (POS). The daily limit is referred to as the Morphine Equivalent Dose (MED) limit. The cumulative limit is based on a combination of drug strength and a product’s Morphine Milligram Equivalency (MME). The cumulative total daily MED value will be calculated based on the number of opioid drugs prescribed over a period of time which includes incoming claims and active claims history.
Read More...

5

Jan

2017

OptumRx: Cigna Opioid Use Following Buprenorphine (DDI POS Edit)

Effective: 1/4/2017

Effective January 2017, CMS will require Medicare plan sponsors to implement a soft point of sale (POS) reject when an opioid prescription is presented following the initiation of buprenorphine for the treatment of opioid use disorder. An enhancement to the Drug-Drug Interaction (DDI) cDUR edit will be turned on to reject opioid claims when a member has a recent history of treatment with buprenorphine or buprenorphine containing products indicated for opioid dependence. If an opioid claim is submitted following an applicable buprenorphine claim at point of sale (POS), the claim will soft reject 88 with the following message: 
Read More...

5

Jan

2017

Express Scripts: Some Anthem members inadvertently terminated; Eligibility will be updated January 5, 2017

Some Anthem Commercial and Health Insurance Exchange members may have been terminated inadvertently by Anthem today (Jan. 4, 2017) with a Dec. 31, 2016 termination date. As a result, pharmacies may experience a higher than usual volume of NCPDP rejects 69 “Filled After Coverage Terminated.” Medicare and Medicaid members are not affected by this eligibility issue and are processing appropriately.
Read More...

5

Jan

2017

Express Scripts: Anthem member eligibility issue resolved

he eligibility issue that occurred Jan. 4, 2017 for some Anthem Commercial and Health Insurance Exchange members has been resolved and claims are processing appropriately. Please reprocess any claims that did reject yesterday. 
 
If you need assistance processing a claim, please contact the Express Scripts pharmacy help desk at 800.922.1557. 
Read More...

4

Jan

2017

Generic News 1.4.17

We start the New Year right with a NEW, EXTENDED GENERICS CAMPAIGN, as well as information from your favorite APCI vendors!

Read More...
First 515516517518 Last