Mount Carmel Health Plan is an existing plan sponsor with CVS/Caremark. Effective March 1, 2015, MediGoldMember Identification Numbers changed from 10 digits to 9 digits by removing one of the leading  zeros. Members received new ID cards; however, if the member does not present their new ID card and you receive the following or similar reject, Reject 69: <<Filled after coverage termed >>, please resubmit the claim removing one of the leading zeros.

In an effort to support continued access to affordable prescription drug benefits, MedImpact Healthcare Systems, Inc., on behalf of participating plans, will preferentially cover the brand version of NEXIUM over generic ESOMEPRAZOLE MAGNESIUM when the generic becomes available in the market. Under this initiative, we will request pharmacies to dispense brand name NEXIUM for all new and refill ESOMEPRAZOLE MAGNESIUM prescriptions from 02/20/15 to 08/18/15 for members of participating plans. Pharmacies will continue to receive brand reimbursement for these fills.

Prime Therapeutics is pleased to provide you the quarterly Prime Perspective. This publication includes important processing information and 2015 plan changes for our clients that may be helpful to your pharmacies.

As a reminder, AmeriHealth Caritas Louisiana (ACLA) requires AB rated generic medications be utilized when available.