Cigna-HealthSpring PDP is launching a pilot program to a portion of its contracted pharmacies in which Cigna-HealthSpring will provide measurement data through the EQuIPP platform. Beginning April 15th, 2015, the EQuIPP platform will begin to display those Cigna-HealthSpring Medicare PDP customers who use your pharmacy, and are statistical outliers under the adherence measures and/or high-risk medication measures listed above. Outliers include customers who are not adherent to medications from 1 or more of the drug classes listed above and/or have routinely filled medications considered as high-risk or potentially inappropriate for the elderly. In addition to seeing customers who are outliers in these measures, Pharmacies using the EQuIPP platform will be able to document in the dashboard their actions, any suspected barriers to compliance and subsequent outcomes. Please note that the documentation is intended to be direct and brief and is geared towards assisting your outreaches and facilitating coordination among the pharmacists and staff in your pharmacy.

On April 1, 2015, Express Scripts began administering the prescription drug program for Anthem Blue Cross and Blue Shield (Anthem), a managed care organization with members enrolled in Hoosier Care Connect.

The information attached below will assist your pharmacy in submitting claims for this plan sponsor. Please update or create patient profiles as appropriate.

Effective May 1, 2015, Absolute Total Care (ATC) members will have $0 copay for certain Asthma, COPD, and Diabetes Preferred Drug List (PDL) medications. Please see the attached list of qualifying Asthma, COPD and Diabetes PDL medications that will be affected by this change.

NEW! Acetaminophen (Tylenol®) Dose Limit

To promote safe medication use and improve care for our members, the Alliance has implemented a cumulative acetaminophen (APAP) dose edit to prevent members from receiving prescriptions containing more than 4 grams of acetaminophen (APAP) per day. This edit calculates any acetaminophen (APAP) containing prescription filled at any pharmacy billed to the Alliance.

Inside this issue:
DoD Program Goes Live May 1…………2
April is National Diversity Month……...3
Reminder to Fax Recipients……………..3