Dear Pharmacy Provider, In an effort to assist your pharmacy when members no longer have primary insurance, PerformRx has implemented an override code that will allow the claim to process as primary for only these instances. If the member states that he/she does not have any other coverage, you may enter an override code of: 50220 in the authorization field appropriate for your pharmacy software. Please note that this override code will be audited to ensure that pharmacies are using the code appropriately. To the extent that pharmacies misuse this override code, upon audit, these claims will be taken back as ACLA is always the payer of last resort according to state and federal regulations. Please contact us at 800-555-5690 with any questions. Thank you. Sincerely, PerformRx Pharmacy Network Department

OptumRx will assume responsibility for claims processing for members of Dish Network L.L.C. Please Note:  All plan participants of Dish Network L.L.C. will receive a new member identification (ID) card. Please refer to the sample of the new ID card below.  Prescriptions need to be processed on-line using the Dish Network L.L.C. ID card information.

IMPORTANT INFORMATION REGARDING

Updates to the MeridianRx Payer Sheet

Effective March 1, 2016, MeridianRx will assume the responsibilities of pharmacy benefit management and claims processing for US-Rx Care and ApproRx.

To ensure uninterrupted service to our pharmacy network and members, please set up your software to reflect the following processing requirements prior to 03/01/2016:

A number of initiatives impacting pharmacy are being heard in the Tennessee General Assembly this week. Please contact your state legislators TODAY, and let them know where you stand on the important issues.

Dear Valued Provider, Effective March 1, 2016, ALL KIDS, a group under BlueCross and BlueShield of Alabama, is adding vaccine coverage for their Covered Persons. ALL Kids Covered Persons may have the option to receive vaccinations for influenza, Pneumovax®, Tetanus, Diphtheria and Pertussis when administered by a pharmacist at a participating pharmacy location and permissible by law. Covered Persons simply present their ID card to a Participating Pharmacy to receive their vaccinations at no charge. Participating Pharmacies within this network are reimbursed an administration fee in addition to the cost of the vaccine product. Participating Pharmacies must submit the Vaccine claim to Prime electronically (online), which includes the applicable ingredient cost, dispensing fee and vaccine administration fee as a single claim.