Dear Valued Provider, Effective January 1, 2016, PrimeWest Health will transition their Medicaid and Medicare Part D products from Prime Therapeutics to MedImpact. Participating Pharmacies will no longer be able to submit claims to Prime Therapeutics for Medicaid or Medicare Part D Covered Persons for dates of service after 12/31/15 for the following BIN and PCN combinations:

11/13/2015 Dear Pharmacy Network Provider, Beginning January 1, 2016 all claims submitted to PerformRx must be submitted with a valid Prescriber National Prescriber Identifier (NPI) number. This is a result of MACRA Legislation which was passed April 16, 2015. Currently PerformRx accepts claims submitted with only a Drug Enforcement Agency (DEA) identifier for select customers. Beginning January 1, 2016, claims submitted with only a DEA number and identifier will deny at point-of-sale and reject with error 434 (Valid Prescriber Type 1 NPI Required), requiring the pharmacy to submit a valid Prescriber NPI number and qualifier.

Dear Pharmacy Network Provider,

Beginning October 1, 2015 all supported PerformRx lines of business will only be accepting ICD 10.

Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Road Builders and Pavers. 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: RX0164 Member ID Format: 9 digits Person Code : 2 digits