MedImpact Healthcare Systems, Inc. will begin processing for Prominence Health Plan as of 1/1/2016.

Since you have already agreed to participate with MedImpact, there will be no information for you to return. Enclosed please find the following information to assist you in processing claims:

RXBIN: 004336 RXPCN: ADV RXGRP: RX4037 CVS/caremark administers the prescription claim processing for InTotal Health. Effective immediately, INTotal Health will allow a 72-hour emergency supply of a prescribed drug when medication is needed without delay and rejects for the following:

This week's Generic News features the Weekly Generics Campaign, the latest service level watchlist from McKesson, and information from Skin Repair, Allison Medical, and Major Pharmaceuticals.

U.S. Rep. Doug Collins (R - Ga.) discusses pharmacy benefit manager abuses during a House Judiciary Committee hearing.

This is to let you know about changes required to comply with your contract with MedImpact effective January 1, 2016. 

Beginning January 1, 2016, CMS requires that Medicare Part D Plan Sponsors and their first tier and downstream entities must comply with new training requirements.  In accordance with your contract with MedImpact, you are a downstream entity to MedImpact’s contracted Medicare Part D plans.

You are currently contractually required to participate in CMS’ fraud, waste, and abuse (FWA) training, which is available on CMS’ Medicare Learning Network website. Beginning January 1, 2016, there is an additional requirement that all downstream entity employees must receive general compliance training in addition to the FWA training that you have conducted in the past. This applies to all employee, staff, independent contractors, etc. and all entities that you partner or contract with to provide Medicare Part D benefits or services.

There are two available options to satisfy the FWA and general compliance training requirements: