About APCI

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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.

31

Aug

2016

OptumRx: IMPORTANT INFORMATION REGARDING Duplicate Medications Resolution Process for UnitedHealthcare Community Plan of Mississippi Members

Effective: September 15, 2016

Effective 09/15/2016, for UnitedHealthcare Community Plan of Mississippi members, you must review medications flagged with the reason code TD (Therapeutic Duplication) to resolve any duplication in the pharmacy system before dispensing the medication. TD is a safety edit that compares the member’s current medications to the drug you are processing. This reason code alerts you when a there is a request to fill a member’s medication within the same class as a medication already filled within the last 30 days so you can research why the patient is attempting to fill another medication in the same class so quickly. When the pharmacy system flags a medication for TD, it produces a soft reject and will display the message: TD: ANOTHER [specific drug class] PRODUCT WAS FILLED.

30

Aug

2016

US Script: US Script and CVS/caremark Network Transition ALERT – IMPORTANT CLAIMS PROCESSING NOTIFICATION

Effective: September 1, 2016

Effective September 1, 2016 - pharmacy claims processing for Peach State Health Plan, Inc. will transition from US Script to CVS/caremark. All claims for Peach State Health Plan, Inc. will now be reimbursed according to your CVS/caremark Network Enrollment Forms and will be paid according to CVS/caremark processing rules and payment cycles, which will appear on your CVS/caremark 835 or remittance advice. New Member ID cards will be issued to Members. Please update your system with these claims processing changes: RXBIN: 004336 RXPCN: MCAIDADV RXGRP: RX5439 This transition will impact all US Script pharmacy networks. As a reminder, continue to process claims to US Script under BIN: 008019 until the above effective date. After such time claims will reject and should be processed under the CVS/caremark RXBIN, RXPCN, RXGRP provided or refer to the CVS/caremark New Implementation Notice. If you have any questions for US Script, please email your inquiry to pharmacynetworkteam@usscript.com or call provider services at 844-297-0513.

30

Aug

2016

US Script: US Script and CVS/caremark Network Transition ALERT – IMPORTANT CLAIMS PROCESSING NOTIFICATION

Effective: September 1, 2016

Effective September 1, 2016 - pharmacy claims processing for IlliniCare Health Plan, Inc. will transition from US Script to CVS/caremark. All claims for IlliniCare Health Plan, Inc. will now be reimbursed according to your CVS/caremark Network Enrollment Forms and will be paid according to CVS/caremark processing rules and payment cycles, which will appear on your CVS/caremark 835 or remittance advice. New Member ID cards will be issued to Members. Please update your system with these claims processing changes: RXBIN: 004336 RXPCN: MCAIDADV RXGRP: RX5437 This transition will impact all US Script pharmacy networks. As a reminder, continue to process claims to US Script under BIN: 008019 until the above effective date. After such time claims will reject and should be processed under the CVS/caremark RXBIN, RXPCN, RXGRP provided or refer to the CVS/caremark New Implementation Notice. If you have any questions for US Script, please email your inquiry to pharmacynetworkteam@usscript.com or call provider services at 844-276-1408.

30

Aug

2016

US Script: US Script and CVS/caremark Network Transition ALERT – IMPORTANT CLAIMS PROCESSING NOTIFICATION

Effective: September 1, 2016

Effective September 1, 2016 - pharmacy claims processing for Buckeye Health Plan will transition from US Script to CVS/caremark. All claims for Buckeye Health Plan will now be reimbursed according to your CVS/caremark Network Enrollment Forms and will be paid according to CVS/caremark processing rules and payment cycles, which will appear on your CVS/caremark 835 or remittance advice. New Member ID cards will be issued to Members. Please update your system with these claims processing changes: RXBIN: 004336 RXPCN: MCAIDOH RXGRP: RX5434 This transition will impact all US Script pharmacy networks. As a reminder, continue to process claims to US Script under BIN: 008019 until the above effective date. After such time claims will reject and should be processed under the CVS/caremark RXBIN, RXPCN, RXGRP provided or refer to the CVS/caremark New Implementation Notice. If you have any questions for US Script, please email your inquiry to pharmacynetworkteam@usscript.com or call provider services at 844-297-0511.

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