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.

5

Oct

2016

Prime Therapeutics: Blue Cross and Blue Shield of Texas CHIP, STAR, and STAR Kids Medicaid Program Update

In the attached communication, please find the following:

  • Eligibility Verification
  • STAR Kids Dual Eligible Covered Persons
  • Inhalation Medication Coverage for Dual Eligible Covered Persons
  • 72 Hour Emergency Supply
  • Processing Requirements for Influenza Vaccinations
  • Processing Requirements for 340B
  • Prescription Drug Benefits
  • How to Use the Drug Formulary
  • Prior Authorization
  • Durable Medical Equipment (DME)

5

Oct

2016

OptumRx: Vaccine and Immunization/Injection Billing Guidelines for UnitedHealthcare Community Plan (TX)

Effective August 1st 2016

UnitedHealthcare Community Plan’s pharmacy benefits manager, OptumRx, offers the vaccines listed in this PDF for UnitedHealthcare Community Plan members. These guidelines apply to Medicaid members: STAR, STAR+PLUS age 21 and older.

*Please see attached PDF for more information.

5

Oct

2016

Express Scripts: Emergency Override for 'Refill Too Soon' Due to Hurricane Matthew

Effective immediately

The governor of Florida has declared a State of Emergency for the entire state due to Hurricane Matthew. The governor of North Carolina has declared a State of Emergency due to Hurricane Matthew for the counties of Alamance, Anson, Beaufort, Bertie, Bladen, Brunswick, Camden, Carteret, Caswell, Chatham, Chowan, Columbus, Craven, Cumberland, Currituck, Dare, Davidson, Davie, Duplin, Durham, Edgecombe, Forsyth, Franklin, Gates, Granville, Greene, Guilford, Halifax, Harnett, Hertford, Hoke, Hyde, Johnston, Jones, Lee, Lenoir, Martin, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Orange, Pamlico, Pasquotank, Pender, Perquimans, Person, Pitt, Randolph, Richmond, Robeson, Rockingham, Sampson, Scotland, Stokes, Surry, Tyrrell, Vance, Wake, Warren, Washington, Wayne, Wilson, and Yadkin.

As a result of this issuance, Express Scripts has implemented Emergency Refill Too Soon Procedures in the State of Florida, and the North Carolina counties listed above for Part D and Medicare Advantage plans. Commercial and Health Plans may also implement Emergency Refill Too Soon Procedures, at their discretion.

*Please see attached PDF for more information.

4

Oct

2016

Prime Therapeutics: Processing Update for Diabetes Testing Supplies for Medicare Advantage Covered Persons

Effective January 1st 2017

Dear Valued Provider,

Effective January 1, 2017, Diabetes Testing Supplies manufactured by Ascensia (formerly Bayer) will be the preferred products for Covered Persons for:

  • Blue Cross Medicare Advantage of Health Care Service Corporation (HCSC) - Illinois
  • Blue Cross Medicare Advantage of Health Care Service Corporation (HCSC) - Montana
  • Blue Cross Medicare Advantage of Health Care Service Corporation (HCSC) - New Mexico
  • Blue Cross Medicare Advantage of Health Care Service Corporation (HCSC) - Oklahoma
  • Blue Cross Medicare Advantage of Health Care Service Corporation (HCSC) - Texas
  • Florida Blue BlueMedicare HMO
  • Florida Blue BlueMedicare PPO

* Please see the attached PDF for further processing instructions

4

Oct

2016

CVS Caremark: Network Update for IN and NH Amendments

Effective immediately

Please see the attached PDF for information regarding network updates to the following CVS Caremark Provider Manual Agreements:

  • Indiana Addendum to Caremark Provider Agreement
  • New Hampshire Addendum to Caremark Provider Agreement
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