Medicare Part B vs. Medicare Part D Point-of-Service Assistance SecureRx PDP RXBIN: 004336 RXPCN: MEDDADV RXGRP: RXCAP As required by CVS/caremark, for drug products that potentially qualify under Part B or Part D, a pharmacy provider must promptly obtain any necessary information from the enrollee or prescriber to properly submit the drug for processing (e.g., to the Part B plan or the Part D plan). Pursuant to your Medicare Part D contract, it is the responsibility of the pharmacy provider to determine whether the drug is a Part B or Part D covered drug. Only a drug that is determined to be a Part D claim should be submitted under the Medicare Part D program.

Medicare Part B vs. Medicare Part D Point-of-Service Assistance Capital BlueCross RXBIN: 004336 RXPCN: MEDDADV RXGRP: RXCAP As required by CVS/caremark, for drug products that potentially qualify under Part B or Part D, a pharmacy provider must promptly obtain any necessary information from the enrollee or prescriber to properly submit the drug for processing (e.g., to the Part B plan or the Part D plan). Pursuant to your Medicare Part D contract, it is the responsibility of the pharmacy provider to determine whether the drug is a Part B or Part D covered drug. Only a drug that is determined to be a Part D claim should be submitted under the Medicare Part D program.

RXBIN: 004336 RXPCN: ADV RXGRP: RX4037 INTotal is an existing plan sponsor with CVS/caremark. Effective March 15, 2016, INTotal Health will make the formulary changes included on page two of this communication. Based on these changes, some medications may no longer be covered by the plan or may require additional Prescriber action to be covered.