Inside this weekly you will find:

• Proper Billing for Vaccine Products
• NY Opioid Prescription Limit
• Anthem Formulary Updates

*Please see attached PDF for more information.

Asacol® HD

SilverScript

• RXBIN: 004336
• RXPCN: MEDDADV
• RXGRP: RXCVSD

The generic for Asacol HD recently became available in the marketplace; however, effective September 23, 2016, SilverScript will continue to cover the brand name Asacol HD at the Non-Preferred Brand Tier.

The CVS Caremark® Pharmacy Performance Department is providing its Network Pharmacies with a reminder regarding your pharmacy’s contractual requirements with respect to accurate claims billing and dispensing.

Notice from the Texas Health and Human Services Commission to Pharmacies:

Mosquito Repellent Benefit

Following are claims processing, eligibility and benefit information specific to the mosquito repellent benefit to prevent Zika virus transmission.

Covered programs:

• Medicaid – Managed Care (MCO) and Fee-for-Service (FFS)
• Children's Health Insurance Program (CHIP) and CHIP-Perinate
• Healthy Texas Women

*Please see attached PDF for more information.

Sheet Metal Local 19

Plan changes Effective 7/1/2016

The group implemented the following changes:

• Day supply increased to allow for a 30-day supply at retail
• Oral contraceptives are covered

• RxGroup: 10058
• Client Name: Sheet Metal Local 19
• State: PA
• Effective Date: July 1, 2016
• RxBIN: 014179
• RxPCN: 9743