FORMULARY CHANGE

CIGNA COMMERCIAL CUSTOMERS

Cigna is making a formulary change to Samsca that may impact customers at your pharmacy. Effective 12/15/2016, Samsca will be covered as a specialty medication on Cigna's Prescription Drug List for non-Medicare/Medicaid members. Also, Samsca will be considered a "Limited Distribution Drug," meaning the manufacturer has chosen to limit its supply to only a few pharmacies in the United States.

*Please see attached PDF for more information.

ATTENTION PHARMACIES:

Opioid Prescribing Limits – Effective October 1, 2016

Managed Health Services (MHS) has worked with the State Medicaid program to determine a set of common criteria that balances the clinical need for opioid pain medications, while helping to minimize the number of members on opioid medications for longer than clinically needed. This was a collaborative effort to create limits that support both CDC Guideline for Prescribing Opioids for Chronic Pain and the Indiana Pain Management Prescribing Rules.

Dear Valued Provider,

Effective January 1, 2017, Vibra Health Plan will begin using Prime as its pharmacy benefit management service provider to manage its prescription drug benefits for their new Medicare Advantage Plan.

Vibra Health Plan is focused on serving Medicare Advantage beneficiaries and is committed to providing enhanced support and navigation through its one of kind member advocacy program. Vibra is headquartered in Harrisburg, Pa. and will begin marketing on October 1, 2016. Through its partnership with Prime, Vibra will partner with local pharmacies in Pennsylvania to offer an excellent package of prescription drug benefits for its members.

 Effective November 1, 2016, Prime will begin providing prescription drug services to members of the Texas Medicaid Program for State of Texas Access Reform Kids ("STAR Kids"), a program administered by Blue Cross and Blue Shield of Texas. In addition, there will be reimbursement changes to the 340B claims under the Texas Medicaid Network.