Toshiba Global Commerce Solutions, Inc.

Member ID Format 11 digits, begins with "4TG"

Person Code 2 digits

Please see the attached Payer Spec sheet for the Idaho ADAP program. This program went live on 9/15/15 but initially was restricted to a few Pharmacies in Idaho. It has since been opened to the entire network.

Camber Pharmaceuticals/Hetero Drugs has changed the color of esomeprazole 20mg and 40 mg capsules. The previous capsule was purple but the new capsule will be blue for all strengths effective immediately. There are no changes to the capsule imprint.

Effective immediately:  NEW algorithm for Dispensing Quantity Limits (QLL)

Error code # AG:  Days Supply Limitation for Product/Service - Safety and Efficacy Edit

• Adjudication rules for QLL allowance will be determined on a daily quantity per day

• Please review your Rejection Message for Plan Coverage rules

MAC Pricing Changes

Date: November 25, 2015

What You Need to Know

Attention Argus WEST VIRGINIA Network Pharmacies:

The MCO (Managed Care Organizations for Medicaid) requires that you have the option to be notified in advance of changes to the generic pricing utilized for West Virginia Family Health beneficiaries.  Later this fall, we will be implementing enhancements to our Argus Pharmacy Portal which will allow you to subscribe to an alert system which will notify you when changes to the MAC pricing are being made.  When that enhancement is completed, we will send another bulletin with instructions on how to register for those alerts.