Dear Pharmacy Provider: In accordance with Texas Labor Code §408.0281, Catamaran and Matrix Healthcare Services, Inc., DBA myMatrixx, are providing the following notification to their network healthcare providers in the state of Texas. Pursuant to the sixty (60) month agreement beginning January 1, 2011 (01/01/2011-12/31/2016), Catamaran provides myMatrixx with access to its network of providers at the discounted fee rate previously established by Catamaran and its providers. In an effort to comply with this Texas law, we are attaching a list of myMatrixx clients who may access our pharmacy network.

Per Indiana rule 405 IAC 5-24-8(a) prior authorization will be required for substitutable brand name drugs. Beginning on January 11, 2016, MDwise Medicaid (Healthy Indiana Plan and Hoosier Care Connect) prescriptions for which the prescriber has indicated "Brand Medically Necessary" will follow a new procedure for review and determination. Pharmacies will no longer be able to submit the claim with a DAW code of 6 or 9 for these prescriptions. For consideration of ‘Brand Medically Necessary’ claims, the prescriber will be required to submit a prior authorization request. Those requests will be considered within 24 hours. Prescribers should use the attached form to submit these requests, also found on the MDwise website, mdwise.org. BIN: 003585 PCN: ASPROD1 GRP: MDW

This communication is designed to provide an easily navigable reference for contemporary updates on OneStop items with inventory concerns. Furthermore, the document will allow for quick identification of alternate OneStop pack sizes and alternate OneStop manufacturers (AC position) that can be purchased in the interim.

RXBIN: 004336 RXPCN: ADV RXGRP: RX1371 Member ID Format: MCO+9 byte, alphanumeric Person Code: Not required Capital One is an existing plan sponsor with CVS/caremark. Effective January 1, 2016, members were issued new ID cards with new member ID numbers. If you receive the following or similar reject, ask member for his or her new ID card. Reject 69: <Filled After Coverage Term> If the new ID card is not available, call the Pharmacy Help Desk for assistance.