In the "Medicare Part D" section (beginning on page 49), the Auto-Ship Refill Programs subsection is deleted in its entirety and replaced with the following: Per CMS guidance, Part D Enrollees must only receive new prescriptions and refills that are requested. Provider must obtain patient consent for each prescription that is not initiated by the Part D Enrollee, whether for the initial prescription or a refill. Such confirmation is unnecessary when the Part D Enrollee personally initiates the refill or new prescription request. This requirement does not affect retail refill reminder programs that require the Part D Enrollee to pick up the prescription and does not apply to Long-term Care pharmacy dispensing and deliveries.

Effective January 1, 2016, in accordance with the Centers for Medicare and Medicaid Services (CMS) regulations in §§ 423.501, 423.505(b)(21), and 423.505(i)(3)(viii) Part D plans are required to disclose to pharmacies MAC prices to be updated in advance of their use for reimbursement of claims. To comply with these requirements, CVS/caremark Part D Services has implemented enhancements to its Pharmacy Portal/MAC inquiry tool, located at https://rxservices.cvscaremark.com/. The following is intended to assist pharmacies when navigating within the Pharmacy Portal in order to use the Medicare Part D MAC enhancements that will be effective on January 1, 2016.

Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Boehringer Ingelheim USA Corporation. 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: RX1171 Member ID Format 12 digits Person Code not required

FloWorks International, LLC Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for FloWorks International, LLC. 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: RX0211 Member ID Format 9 digits Person Code not required

FloWorks International, LLC Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for FloWorks International, LLC. 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: RX0211 Member ID Format 9 digits Person Code not required