About APCI

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(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.

2

Nov

2016

CVS Caremark®: US Script - Kansas Medicaid Sunflower Health Plan, Inc. DELAYED

US Script and CVS Caremark® previously announced that effective November 1, 2016, CVS Caremark would begin to process claims for Sunflower Health Plan. This notice is to inform you that this implementation is being delayed. The timeline for implementation is being developed and notifications will be made at least 30 days before implementation.

Claims for Sunflower Health Plan should continue to be processed through US Script until such time US Script and CVS Caremark notify you otherwise. Claims will be reimbursed according to your US Script Network Enrollment Forms and will be paid in accordance with the Kansas Department of Health & Environment requirements for KanCare Medicaid pharmacy claims. Claims for Sunflower Health Plan claims will remain on your US Script 835 or remittance advice.

Please continue to process claims to US Script - RXBIN: 008019.

Claims processing questions for Sunflower Health Plan should be directed the US Script Pharmacy Help Desk at 1-877-249-2718.

2

Nov

2016

PerformRx: Prestige Health Choice Plan

Effective December 1st 2016

Dear Pharmacy Provider,

The purpose of this letter is to notify you that, effective December 1, 2016; PerformRx will be providing pharmacy benefit management services to Prestige Health Choice Plan. Your provision of Pharmacy Services to Prestige Health Choice Plan members will be governed by the terms and conditions of your PerformRx Participating Pharmacy Agreement under your Prestige Health Choice amendment.

*Please see attached PDF for more information.

2

Nov

2016

MedImpact Healthcare Systems, Inc. - Owensboro Health

Effective January 1st 2017

MedImpact Healthcare Systems, Inc. will begin processing for Owensboro Health as of 1/1/2017.

Since you have already agreed to participate with MedImpact, there will be no information for you to return.


*Please see attached PDF for more information.

2

Nov

2016

Prime Therapeutics: Claims Processing Outage Notification

Effective Saturday November 5, 2016 11:00p.m. to Sunday November 6, 2016 5:00 a.m. (Central Time)

Dear Valued Provider,


Due to system maintenance at Prime Therapeutics, our claims processing system will be unavailable for claims adjudication during the time frame listed below.


Saturday November 5, 2016 11:00 p.m. to Sunday November 6, 2016 5:00 a.m. (Central Time)


During this downtime, claims will not be processed.  Please communicate this information to your pharmacies.

If you have any questions regarding processing claims, please call the Prime Contact Center at 800.821.4795.  Prime's Contact Center is open 24 hours a day, 7 days a week.


Thank you,

Pharmacy Network Management
Prime Therapeutics LLC


Prime Therapeutics Contracting Fax number: 877.823.6373

1

Nov

2016

CVS Caremark: Aetna Better Health of Texas STAR Kids

Effective November 1st 2016

Effective November 1, 2016, Texas STAR Kids will go live with Aetna Better Health of Texas. Please be aware that during the transition new members may not have received their new ID cards or they may not have them available when they present a prescription at the pharmacy. These members are active as of November 1, 2016, and eligible in the system. CVS Caremark Pharmacy Help Desk will be able to assist your pharmacy staff with missing ID numbers. Please contact 1-877-874-3317 and use option 5 for Texas STAR Kids.

*Please see attached PDF for more information.

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