This week's Generic News includes information on the Weekly Generics Campaign, updates from McKesson, and news from APCI's Approved Vendors!

Participating Pharmacies may be experiencing rejections when trying to process claims for Covered Persons of Blue Cross Blue Shield of North Carolina (BCBSNC).

The correct ID number contains the alpha character ‘W’ followed by a ten-digit number. The ten-digit number consists of the Covered Person ID followed by the relationship code found on the ID card.

RxEDO COB Processing Update

Rx BIN: 610220 Rx PCN: 03980000  

What You Need to Know  

RxEDO will allow COB processing. The Payer Sheet has been updated to reflect this change.  

Payer Sheets

To view the payer sheets on www.argushealth.com

• Click MyArgus link in the upper right-hand corner of the website.
• Click MyArgus
• Enter the User ID and the password
• Select Pharmacy
• Select the RxEDO 0398 (COB Copay Only) D.0 payer sheet under the D.0 Commercial/Generic drop-down box.

Effective February 1, 2015, Sunshine Health will begin covering pneumococcal and varicella zoster vaccines for select populations in accordance with Managed Medical Assistance (MMA) expanded benefits and the Agency of Health Care Administration drug limitations. The vaccines in the table below are covered without a prior authorization. Vaccines for populations not listed in the attached PDF file will require a prior authorization.

Effective February 1, 2015, IlliniCare Health will begin covering several new vaccinations. These vaccinations must be administered according to state pharmacy regulations and appropriate dosage restrictions. You are obligated to report the administration of each vaccination within 30 days to the member’s primary healthcare provider*.