Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Heritage Home Group. 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: RX0231 Member ID Format: 11 digits Person Code : 2 digits

All Medicaid prescriptions that are presented in-person at the pharmacy must be written on a tamper-resistant prescription pad. If, during auditing, a prescription is found that was not written on a tamper-resistant pad, that claim will be subject to chargeback.

Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Blackbaud. 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: RX0222 Member ID Format: 9 digits Person Code : 2 digits

Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for PCA. 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: RX7388

Member ID Format: 9 digits

Person Code : not required

Medicare Part D plan sponsors must arrange with network pharmacies to provide enrollees with a written copy of the standardized pharmacy notice when an enrollee’s prescription cannot be filled under the Medicare Part D benefit at the point-of-sale. 42 C.F.R. §§ 423.128(b)(7)(iii) and 423.562(a)(3).