Effective January 1, 2017, CVS Caremark® will begin to administer the prescription benefits for JBS. 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: RX0349

Member ID Format: 9 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

      Vaccine                                       JBS will participate in the CVS Caremark Vaccine Administration Network. The following vaccines will be covered:

                                                • Seasonal: Trivalent, Quadrivalent, Short Needle, Flublok, Fluzone

                                                            • Non-Seasonal: Zostavax, Pneumonia

Submit the proper "MA" code in field 440-E5 of the DUR/PPS Segment along with a positive incentive fee amount in Field 438-E3 of the Pricing Segment when administering vaccines.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0274, RX0275

Member ID Format: 7 digits, alphanumeric; remove prefix of "YPY"

Person Code : 2 digits, required

*Please see attached PDF for more information.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX7859

Member ID Format: 9 digits, numeric only

Person Code : not required

*Please see attached PDF for more information.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0330

Member ID Format: 11 digits, alphanumeric

Person Code : 2 digits, required

*Please see attached PDF for more information.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0456

Member ID Format: 11 digits, alphanumeric

Person Code : 2 digits, required

*Please see attached PDF for more information.