Ohio Medicaid Molina Healthcare of Ohio Molina Healthcare of Ohio is an existing plan with CVS/caremark. On March 1, 2016, a portion of Molina Healthcare of Ohio’s population is moving to a new RXGRP and will receive new cards with updated claims processing information. Please update or create plan member profiles to reflect the new RXGRP as appropriate. RXBIN: 004336 RXPCN: MCAIDOH RXGRP: RX0718 Member ID Format: 12 digits Person Code: 001

Aetna Better Health of Illinois RXBIN: 610591 RXPCN: ADV RXGRP: RX8820 Aetna Better Health of Illinois is an existing plan sponsor with CVS/caremark. The following over-the-counter (OTC) medications are on formulary for Aetna Better Health of Illinois without prior authorization. • OTC omeprazole • OTC esomeprazole • OTC lansoprazole These medications are no longer covered in prescription strength. Please dispense the OTC product. If you have questions or need assistance, call the Pharmacy Help Desk at 1-855-364-2973.

Kentucky Medicaid Aetna Better Health of Kentucky Effective February 1, 2016, CVS/caremark will begin to administer the prescription benefits for Aetna Better Health of Kentucky, Kentucky Medicaid program. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS/caremark. RXBIN 610591 RXPCN ADV RXGRP RX8831 Member ID Format 15 bytes Person Code Not required

Please see attached monthly Argus MAC list.