OptumRx, UnitedHealthcare’s pharmacy benefits manager, recently identified claims that were rejected for prescriptions for Rosuvastatin Calcium from Aug. 1 to Aug. 9 as a non-covered prescription and not paid for some UnitedHealthcare Medicare Part D members. The claims were incorrectly processed with a rejection code of 70 for product/service not covered. OptumRx has taken the necessary steps to correct this claims processing error. If your pharmacy has identified claim(s) that you believe could have been rejected in error within the last 90 days, please submit an electronic claim for reprocessing. If you are unable to submit online, please complete and submit a Universal Claim Form and send it to: OptumRx P.O. Box 29044 Hot Springs, AR. 71903 If a UnitedHealthcare Medicare Advantage plan member who was affected by this error returns to your pharmacy to have their prescription filled, please fill it.

Dear Pharmacy Owner or Manager, Prime Therapeutics LLC (Prime) is providing notification of changes to the Section 1: Prime Contact Information, 3: Claims Processing; Section 4: Benefit Plan; Section 5: Responsibility of Participating Pharmacy; Section 6: Participating Pharmacy Audit; and Section 7: Medicaid Requirements, of the Provider Manual effective September 1, 2016, which is incorporated by reference to the Pharmacy Participation Agreement.

CareSource Community Transition Program (CTP) Effective August 1, 2016, CVS Caremark® will begin to administer the prescription benefits for CareSource CTP. This program will only cover Naloxone Emergency Kits. RXBIN: 004336 RXPCN: ADV RXGRP: RX0799 Member ID Format: 12 digits, numeric only Person Code: Required

Medica Individual & Family Health Plan (IFB) Effective September 1, 2016, CVS Caremark®will begin to administer the prescription benefits for Medica Individual & Family Health Plan. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark. RXBIN: 004336 RXPCN: ADV RXGRP: RX0297 Member ID Format: 10 digits Person Code : 2 digits

In this week's Generic News, we've got a new Generics Campaign slated to begin August 27, plus vendor news from Teva, Acatavis, Merck, and DPSI!