About APCI

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(800) 532-2724

Since 1984, APCI has been the ‘united voice of independent pharmacy’

APCI began as a small buying group for a limited number of independent pharmacies in central Alabama. Since that time, the cooperative has grown to more than 1,800 members pharmacies in 26 states, and provides its members with a wide range of products and services.

Our mission is to represent the economic and professional interests of independent pharmacies by providing leadership, vision, and a collective voice for our members in the healthcare marketplace. Our goal is to level the playing field for our member pharmacies by providing innovative, targeted programs to benefit our entire membership.

2

Dec

2015

US Script: Sunshine Health

Effective: December 1, 2015

Help Improve Member Adherence

Effective December 1, 2015 - Sunshine Health is relaxing quantity edits on select maintenance medications for our Medicaid

members to help improve member adherence and outcomes. Pharmacies may fill up to a three month supply (up to 100

day supplies) of generic medications on the Medicaid PDL in the following classes.

• Generic Oral Diabetes Medications

• Generic ACE-Inhibitors

• Generic ARBs

• Generic Statins

In addition, participating pharmacies in our Ambetter and Sunshine Advantage pharmacy n

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2

Dec

2015

OptumRx: Important Information Regarding Hoffmaster Group, Inc.

Effective: January 1, 2016

OptumRx will manage claims processing for members of Hoffmaster Group, Inc

Please note:

All members of Hoffmaster Group, Inc will receive a new member identification (ID)

card as shown below.

Please process prescriptions online using the Hoffmaster Group, Inc ID card information.

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1

Dec

2015

Prime Therapeutics: Covered Person ID Information Update for Blue Cross Community Family Health Plan

Effective: December 1, 2015

Dear Valued Provider,

Effective December 1, 2015, Blue Cross Community Family Health Plan (FHP) experienced a large increase in their membership. Some Covered Persons may not have received their new identification cards prior to December 1, 2015.

Processing Requirements

To ensure uninterrupted service to Participating Pharmacies and Covered Persons, please use the following information for processing claims: RxBIN

011552

PCN

ILCAID

RxGroup

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1

Dec

2015

CVS/caremark: Procedures for System Downtime

Effective: November 30, 2015

ACTION REQUIRED: On November 30, 2015, the following or similar reject may

have occurred on some CVS/caremark claims: <<HOST UNAVAILABLE>>.

This unanticipated issue has been resolved. If you have not already done so,

please assist plan members and resubmit applicable rejected claims. Please contact

the plan member as appropriate once a paid claim has been captured. If the plan

member has paid cash and received the medication, please resubmit the claim and

refund the member as appropriate.

As a reminder, per the Caremark Provider Manual, from time to time, unscheduled

system maintenance or other circumstances may occur when the adjudication

platform(s) may not be available to adjudicate claims for a limited time. At any time, a

Provider may contact the Pharmacy Help Desk for assistance or information regarding

any claim processing related question. Pharmacy Help Desk Representatives are

available 24 hours a day, 7 days a week.

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1

Dec

2015

Medimpact: CY2016 Changes: Part D Prescriber Validation Requirements

This notice contains important information about regulatory changes that will impact pharmacy processes starting in 2016. Please keep reading for details about how these Medicare Part D changes will impact your pharmacy’s processes.

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