Beginning Dec. 27, 2016, BlueChoice HealthPlan will change its “Refills Allowed After” (i.e. Refill Too Soon) limits for members enrolled in its Medicaid plans.

The changes to the Medicaid Refills Allowed After limits will require members to use 90% of a prescription before a refill can be obtained. Claims submitted before the 90% threshold has been reached will reject with NCPDP Reject 79, “Refill Too Soon.”

*Please see attached PDF for more information.

In 2017, VIVA Health will be using two different PBMs for Commercial and Medicare Lines of Business. Attached please find a notification showing the different RXBin, RxPCN, and RxGrp for Commercial and Medicare Advantage members.

Dear Valued Provider,

December 26th 2016, generic Relpax (eletriptan) will become available to the market. The generic eletriptan will not be covered by the Mississippi State and School Employees’ Health Insurance Plan until multiple manufacturers become available or the price decreases. The innovator branded product Relpax will continue to be covered at the same preferred brand copay of $45.

*Please see attached PDF for more information.