This notification is provided to you pursuant to Texas Labor Code Section 408.0281(d) "Notification to Health Care Provider" and contains the information we may elect to provide to any person, other than an injured employee, to whom access has been provided to the contractual fee arrangement that National Pharmaceutical Service (NPS) has with you. This applies to contractual fee arrangements for services through the NPS network at rates inconsistent with the Texas workers’ compensation pharmacy fee guidelines.

*Please see the attached PDF for more information.

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.

In 2011, Texas Governor Rick Perry signed into law House Bill 528. This law requires certain actions on the part of Tmesys as your network pharmacy partner to ensure continued ability to maintain our current business arrangements and continue providing workers’ compensation pharmacy services in Texas.

First, according to Texas Labor Code §408.0282(a), Tmesys is currently registered with the Texas Division of Workers’ Compensation (TDWC) as a "Voluntary and/or Informal Network". This registration does not in any way supersede or interfere with the terms of our current network contracts or relationships. Tmesys will continue business as usual in Texas. In fact, current contractual relationships between Tmesys and network pharmacies ensure continued compliance with requirements found in Texas Labor Code §408.0281(c).

Second, in accordance with Texas Labor Code §408.0281(d)-(e), Tmesys is required to meet specific notification requirements to all providers within the network and must disclose to these providers specific information as required under §408.0281(d). To ensure ongoing compliance with these requirements, Tmesys provides the following network contact information:

*Please see attached PDF for more information.