Starting May 1, 2015, Express Scripts, the TRICARE pharmacy contractor, will screen all ingredients in compound drug claims to ensure they are safe and effective, and covered by TRICARE. This screening process is like the one TRICARE already uses for other prescription drugs, but it will now apply to the ingredients in compound drugs.

All APNS pharmacies must complete credentialing requirements NO LATER than 3/31/2015.  

Failure to complete credentialing will negatively impact third party relationships.  

In an effort to streamline this process for all APNS member pharmacies, a NEW credentialing portal was created and is available via the APCI website, www.apcinet.com.  

ATTN:  APNS Member Pharmacies 

Attached please find:

• Fraud, Waste and Abuse (FWA) training presentation for 2015
• FWA Individual Employee – To be kept on file for each employee at pharmacy

Dear independent pharmacy leader,

NCPA had a call with CMS this week and was able to find out the following information about upcoming changes in the Aetna / Coventry Part D plans:

Effective April 1, 2015, CountyCare will implement a new mandatory maintenance drug program. This program requires CountyCare members to fill all maintenance prescriptions for a 90-day supply. 90-day maintenance prescriptions must be filled at a pharmacy participating in US Script’s EDS network.