Make A Wish Communication #03MG16 Rx BIN: 018612 Rx PCN: HELP Rx GROUP: As printed on the card Date: February 11, 2016 Effective Date: February 25, 2016 What You Need to Know Effective February 25, 2016, the Make A Wish program will be processed through Argus Health Systems. Program Overview Water Tree Ventures, LLC will offer the program to uninsured and under-insured patients. The patient will be responsible for the full cost of the claim, but will receive their medication at a discounted rate. There is no anticipated end date for the program. The card will be distributed to patients by Water Tree Ventures, LLC. Program Parameters • • Member Eligibility: o No activation or enrollment is required. • Program Benefits: o Includes all NDCs o No Day Supply Limits • Pharmacy Network: o ANA-101 o ANA-107

RXBIN: 610591

RXPCN: ADV

RXGRP: RX8834

During a recent pharmacy outreach, it was brought to our attention that the Patient Residence (384-4X) and Pharmacy Service Type (147-U7) fields are not available for selection within certain pharmacy software systems. These two fields together are critical to identifying the claim type (see table below). It is important to know where these fields are located within the software system and to change them as needed in order to appropriately identify the claim. Before the claim is submitted, please review the table below and make sure you are submitting the correct values. If you cannot locate these fields, please contact your software vendor for assistance.

Dear Valued Pharmacy Provider: This notice is sent to inform you of a new Citizens Rx client: myRxMedSaver (from the Barclay Marketing Group LLC). Please ensure that you have the following BINs and Group Numbers activated in your store system, effectively immediately. This is a new unfunded, nationally marketed program. myRxMedSaver program participants may present either a physical card or an electronic application with the necessary program information. Depending on how the customer became a program participant will determine the BIN and Group Number needed to successfully transmit a claim. Please use the following information for setting up your pharmacy system and submitting claims: