Dear Pharmacy Provider: On April 1, 2015, Magellan Health, Inc. announced the completion of its acquisition of 4D Pharmacy Management Systems, a privately held, full-service pharmacy benefit manager, which supports commercial and government clients on a national basis including but not limited to managed care organizations, employers, and government-sponsored benefit programs. Effective March 1, 2016, except as noted herein, retail pharmacy claims for 4D will process under the terms and conditions of your Participating Pharmacy Agreement with Magellan Rx Management, Inc. (and/or Magellan Pharmacy Solutions, Inc.) and will no longer process under your contract with 4D. This change, however, will not affect Medicare Part D pharmacy networks currently used by 4D (and thus Medicare Part D claims will continue to process under the existing contract) and a small number of non-Medicare Part D payors.

Effective March 1, 2016, UnitedHealthcare Community Plan will manage pharmacy benefits for Iowa Health Link members according to the state‟s preferred drug list. OptumRx, our pharmacy benefits manager, will handle claims processing for these new UnitedHealthcare Community Plan members, who will receive UnitedHealthcare Community Plan member ID cards as shown in the following example. Claims Processing Information Please submit claims using the following information. If you have questions, or if a member has not yet received their member ID card, please call the OptumRx Help Desk at 877-495-2272.

This week's update includes information on the CMS Annual Call Letter, track and trace implementation, and more.

IMPORTANT INFORMATION REGARDING Downtime Notification Optum Rx will be performing scheduled maintenance to our claim processing system on Saturday, February 20 from 9:00p.m. (PT) until 4:00 a.m. (PT) Sunday, February 21. Actual maintenance time required for this outage may be reduced, at which point OptumRx will resume processing claims and other functions earlier. Pharmacies will be unable to process claims during the scheduled outage. The Pharmacy Help Desk will not be able to answer eligibility or benefit questions during this down time. We apologize for any inconvenience this may cause. TO REDUCE PROCESSING ERRORS, PLEASE CONFIRM THE INFORMATION ON MEMBER’S ID CARD PRIOR TO SUBMITTING PRESCRIPTION CLAIMS. Should you have any questions or require assistance, please contact the OptumRx Help Desk, 24 hours a day, 7 days a week: OptumRx Help Desk phone numbers: 1-800- Thank you for your continued support. Please distribute immediately.

In the "Louisiana Addendum to Caremark Provider Agreement" (beginning on page 145), a new section is added to the Louisiana Medicaid sub-section to read as follows, right after section 75: 76. Provider will assign to the State of Louisiana any and all rights or claims it currently has or may acquire under any state or federal antitrust laws and that are attributable to any product units purchased or reimbursed through any state program or payment mechanism, including but not limited to, product units purchased or reimbursed under the state’s managed Medicaid program, currently known as Bayou Health. For purposes of this assignment clause, "Provider" shall include any direct or indirect owner to whom the right or claim to be assigned actually belongs, including any and all parents, branches, departments or subsidiaries.