Dear Valued Provider,

Effective January 1, 2017, CVS Pharmacies will no longer participate in certain Prime networks. As a result of this processing change, your Participating Pharmacy may see an increase in Covered Person prescription claims and transfers.

Impacted Covered Persons are being notified of this change.

We sincerely appreciate your assistance to help prevent any disruption of service for these Covered Persons during this time.

If you have questions regarding claims processing, please contact Prime’s Contact Center at 800.821.4795. 

Sincerely,

Pharmacy Network Management

Prime Therapeutics LLC

Attached please find the presentation for today’s webinar.  An FAQ document will be provided post webinar for any questions submitted to the ProviderOutreach@esrxcommunications.com.

*Please see attached PDF for more information.

Effective January 1, 2017, CVS Caremark® will begin to administer the prescription benefits for Thompson Hine. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0453

Member ID Format: 11 digits, numeric only

Person Code: 2 digits, required

Card images are not available at this time.

Patient Pay Amount

Please rely on the claims system to determine the correct amount to collect from the plan member, if applicable.

Dear Valued Provider,

Effective December 1, 2016, Blue Cross and Blue Shield of Alabama (BCBS of AL) will be increasing the number of Prescribing Provider rejections Participating Pharmacies might receive for Commercial Covered Persons.

*Please see attached PDF for more information.