Anthem is making a change to the Preferred Drug List (PDL) in the states of California (Anthem Blue Cross), Indiana (Anthem Blue Cross and Blue Shield), South Carolina (BlueChoice HealthPlan Medicaid) and Virginia (Anthem HealthKeepers Plus). These changes will become effective September 1, 2016. In the table below, medications listed in the left-hand column will no longer be included as preferred drugs under the Anthem plans in California, Indiana, South Carolina and Virginia.

In the Federal and State Laws and Regulations section of the Provider Manual (on page 69), a new section is added after the Patients’ Bill of Rights sub-section, as follows: Nondiscrimination in Health Programs and Activities Pursuant to Section 1557 of the Patient Protection and Affordable Care Act (42 U.S.C. 18116) which prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities, and as a health care provider of Pharmacy Services for covered entities subject to 45 CFR Part 92 "Nondiscrimination on the Basis of Race, Color, National Origin, Sex, Age, or Disability in Health Programs or Activities Receiving Financial Assistance and Health Programs or Activities Administered by the Department of Health and Human Services or Entities Established Under Title I of the Patient Protection and Affordable Care Act," Provider agrees to comply with 45 CFR Part 92 to the extent applicable to Pharmacy Services provided to covered entities’ Eligible Persons. Such compliance shall include, but is not limited to, nondiscrimination under 45 CFR 92.101, providing meaningful access for individuals with limited English proficiency under 45 CFR 92.201, providing effective communication for individuals with disabilities under 45 CFR 92.202, meeting accessibility standards for buildings and facilities under 92.203, and providing equal access on the basis of sex under 45 CFR 92.206. This communication and any attachments may contain confidential information. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution, or copying of it or its contents, is prohibited. If you have received this communication in error, please notify the sender immediately by telephone and destroy all copies of this communication and any attachments. This communication is a Caremark Document within the meaning of the Provider Manual. Page 1

Effective September 1, 2016, Blue Cross and Blue Shield of Kansas City (Blue KC) will update its prescription drug list (PDL), which will result in select medications moving from Tier 1 to Tier 2 and others from Tier 2 to Tier 3. When multiple tiers are present within a drug class, generally members must try a lower tier medication before a higher tier can be dispensed. In addition, quantity limits to various medications will be applied. The list of quantity limits is available at BlueKC.com (click "Contact", then click "FAQs" and scroll to "Medications with Quantity Limits"). The tables below contain detailed information regarding these changes. If you have questions, please call Pharmacy Customer Service at 816.395.2176 or 800.228.1436 and ask for the Clinical Unit.

Effective Date: 08/01/2016 Commercial Travelers Mutual Insurance Co BIN: 600471; PCN: *Varies Commercial Travelers is a current client of Optum that has new and existing groups that will be starting in August. These new groups will be receiving new cards that will include the person code as part of the member ID. If there is a processing issue at the pharmacy please ensure that the member has provided their new card for the plan year.

Effective Date: 08/01/2016 Commercial Travelers Mutual Insurance Co BIN: 600471; PCN: *Varies Commercial Travelers is a current client of Optum that has new and existing groups that will be starting in August. These new groups will be receiving new cards that will include the person code as part of the member ID. If there is a processing issue at the pharmacy please ensure that the member has provided their new card for the plan year.