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.

23

Nov

2015

CVS/caremark: New Implementation for Murray Energy

Effective: January 1, 2016

Effective January 1, 2016, CVS/caremark will begin to administer the

prescription benefits for Murray Energy. 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: RX5840, RX5841, RX5854

Member ID Format: 9 digits

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23

Nov

2015

CVS/caremark: New Implementation for CIT Group, Inc.

Effective: January 1, 2016

Effective January 1, 2016, CVS/caremark will begin to administer the

prescription benefits for CIT Group, Inc. 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: RX3169

Member ID Format: 9 digits

Read More...

23

Nov

2015

CVS/caremark: State Re-enrollment Required for Texas Medicaid Providers

Effective: March 24, 2016.

Please note that due to a federal mandate, all Texas Medicaid providers

enrolled before January 1, 2013, must complete re-enrollment in Texas

Medicaid by March 24, 2016. To be considered fully re-enrolled, providers must

submit a completed re-enrollment application and receive notification from the

Texas Medicaid & Healthcare Partnership (TMHP) that their application has

been approved. To allow sufficient time for re-enrollment application

processing, providers are encouraged to begin this process immediately.

Medicaid providers who are not re-enrolled prior to the March deadline may

experience:

Interruption in reimbursement for Medicaid services

Denial of claims for Medicaid services

Difficultie

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23

Nov

2015

CVS/caremark: New Implementation for University of Maryland Health Advantage

Effective: January 1, 2016

Effective January 1, 2016, CVS/caremark will begin to administer the

prescription benefits for University of Maryland Health Advantage. Please

update or create plan member profiles to reflect the changes regarding the

following new plan adjudicating through CVS/caremark.

RXBIN 004336

RXPCN MEDDADV

RXGRP RX8575

Member ID Format 10 digits, begins with “MD”

Read More...

23

Nov

2015

Express Scripts: Amerigroup Kansas, Inc. Claims Processing Update

Effective: December 28, 2015

Effective December 28, 2015, Amerigroup will be adding drugs to their

Prior Authorization (PA) program for Medicaid. The goal of this program is to ensure the medication is being used for FDA-approved indications for therapy. PA criteria for the drugs listed in the table on page two of this communication were reviewed and approved by the Kansas Drug Utilization Review Board.

Please note that claims for the additional medications included in the PA program will reject with NCPDP reject code 75 (Prior Authorization Required). Please contact the prescriber for approval.

The prescriber/physician must request prior authorization by calling the Express Scripts pharmacy department at 1.855.201.7170 and following the prompts.

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