RXBIN: 004336

RXPCN: ADV

RXGRP: RX0419

Member ID Format: 11 digits, alphanumeric

Person Code: 2 digits, required

*Please see attached PDF for more information.

RXBIN: 004336

RXPCN: MEDDADV

RXGRP: RXCVSD

Member ID Format: 8-10 digits, alphanumeric

*Please see attached PDF for more information.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0424

Member ID Format: 9 digits, alphanumeric

Person Code : 2 digits, required

*Please see attached PDF for more information.

For most members in the following plans:

• AARP® MedicareRx
• AARP® MedicareComplete®
• UnitedHealthcare® MedicareComplete Plans
• United MedicareRx
• UnitedHealthcare MedicareRx Plans

Upon the release of the generic for the brand medication Zetia, the brand name version of Zetia will continue to be the preferred product. The generic Ezetimide will be a non-covered/non formulary drug.

Please continue to process claims for brand Zetia as it will process without any need of a prior authorization. The generic Ezetimide will be not be a covered drug and should reject as a non-covered/non formulary drug, if you get this reject, changing the drug back to brand Zetia will allow the drug to process.

In addition, if you get a paid claim for generic Ezetimide, please reverse the claim and continue to process for brand Zetia. You will see that as the brand Zetia is on the preferred tier, it will produce a lower copay amount for the member than processing the generic even if the generic pays.

TO REDUCE PROCESSING ERRORS, PLEASE CONFIRM THE INFORMATION ON MEMBER’S ID CARD PRIOR TO SUBMITTING PRESCRIPTION CLAIMS.

Should you have any questions or require assistance, please contact the OptumRx Help Desk, 24 hours a day, 7 days a week:

OptumRx Help Desk phone numbers:

• AARP® MedicareComplete® and UnitedHealthcare® MedicareComplete Plans: 877-889-6510  UnitedHealthcare® Medicaid Plans: 877-305-8952
• AARP® MedicareRx, United MedicareRx, UnitedHealthcare MedicareRx Plans: 877-889-6481
• All other Medicare Part D Plans: 800-788-7871

Effective November 1, 2016 - We are excited to announce that we are officially rolling out our new name and brand, Envolve Pharmacy Solutions.

As a leading pharmacy benefit and specialty drug management solution, Envolve Pharmacy Solutions serves over nine million members across the US. We combine the strength of traditional pharmacy benefit managers formerly known as Health Net Pharmaceutical Services and US Script; AcariaHealth, a rapidly growing specialty pharmacy; and Homescripts, a mail delivery service.

We will continue to deliver on our mission of transforming the pharmacy benefit management experience with innovative and flexible solutions, clinically driven programs, and data analytics that lead to the best and most cost-effective outcomes for members.

We value your partnership, and we look forward to enhancing our relationship with you as Envolve Pharmacy Solutions. You can read more about Envolve Pharmacy Solutions at our web site, www.envolverx.com.

For Claims Processing or Technical Support, contact the CVS Caremark Medicare Part D Pharmacy Help Desk at 1-888-865-6567.