The most common compounding kits are for omeprazole and lansoprazole oral solution and Magic Mouthwash. Pharmacies should continue to compound prescription without using the NDC associated with these Compound Kits. Prescription compounding kits contain pre-measured ingredients and other materials used to create a specific compounded product. A few manufacturers produce these kits, and each kit is identified under a single National Drug Code (NDC). NDCs for these kits are listed in the Food and Drug Administration’s (FDA’s) drug database with a marketing status of "Unapproved." Therefore PerformRx and its claims processor will no longer process claims using NDC associated with these Compound Kits.

Dear Pharmacy Provider, Pursuant to state MAC regulations, please consider this to be notification that Tmesys has reviewed and instated a new MAC pricing list. Tmesys MAC pricing is determined by a third party vendor, Glass Box Analytics LLC, using the Predictive Acquisition Cost (PAC) model. PAC pricing uses the following sources: industry MAC Benchmarks, published price lists, existing pricing benchmarks, behavioral metrics, and supply/demand measures. PAC pricing also uses as a "source", survey based drug acquisition costs obtained from CMS on the national level and pharmacy level pricing information as reported to state agencies from the following states: Arkansas, Colorado, Idaho, Louisiana, and Oregon. Helios strives to ensure compliance with all state legislative and regulatory requirements related to the provision of pharmacy and ancillary services. Therefore, to receive information pursuant to, and compliant with these regulations, interested Tmesys network pharmacies should fill out the MAC Inquiry Form and Non-Disclosure Agreement that can be accessed via the Helios website and email the completed forms to MACresolution@helioscomp.com. Thank you, Tmesys

We’re writing to let you know that HealthPartners is making several formulary changes. Changes include • Generic sildenafil 20mg has been added to the formulary for erectile dysfunction, and will be preferred over Viagra, Cialis, and Levitra. • The specialty-medication restriction on sildenafil has been removed (allowing dispensing by retail pharmacies), effective January 1. • Prior authorization criteria for sildenafil are being removed, and a quantity limit (#30 per month) is being added, effective April 1. • For erectile dysfunction, for members with coverage, sildenafil 20mg is covered for up to #30 tablets per month. For pulmonary hypertension, prior authorization is required, and requests will be approved for #90 tablets per month. • Viagra, Cialis, and Levitra will be reserved for patients who have tried and failed generic sildenafil tablets. These medications average over $40 per tablet, versus about $0.50 for generic sildenafil 20mg. Most members have lower costs for generics.

Georgia Congressman (and APCI member) Buddy Carter was on CNN discussing Martin Shkreli and prescription drug pricing.

Proctor and Gamble is an existing plan with CVS/caremark. Effective March 1, 2016, Proctor and Gamble and Duracell are splitting into two separate companies. CVS/caremark will begin to administer the prescription benefits for Duracell as a separate plan. Member ID numbers will remain the same; however, members will receive new cards to reflect the new RXGRP. 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: RX0186 Member ID Format: 9 digits Person Code : 2 digits