Inside this edition, you will find: 

• How Do Pharmacies Maintain Compliance with CMS?
• Formulary Changes

Please see attached PDF for entire newsletter.

Please be advised, the previously announced Emergency Refill Process (below) is
no longer in effect.

In response to the current emergency situation in the Southern California region, Kaiser
Permanente has approved the following immediate action to ensure continuity of care for
members.

If a Southern California Kaiser Permanente member indicates that he/she is impacted by the
current emergency situation due to Bogart Fire - Riverside County, CA, as an Optum Network
Pharmacy, you should:

First Farmers Wrap Plan pays secondary to Medicare Part D. Pharmacies must submit claims to
the member’s Medicare D coverage first, then submit the Medicare D copay as secondary to
the First Farmers’ Wrap Plan. This will process to OptumRx under: BIN: 610127, PCN 04000013,
GROUP: 01961925, OTHER COVERAGE CODE 8. The member is responsible for the copay
returned from the second pharmacy submission. Pharmacies needing assistance may call our
Customer Service at 1-877-559-2955. Please request a copy of the member’s ID Card. Please do
not refer members back to their Plan Sponsor.