As a reminder to a previous communication sent December 30, 2014, please note Express Scripts administers the prescription drug plan for Anthem, Inc., affiliated Health Plans.* January 1, 2015 is a high volume enrollment and benefit update period for employer groups covered by Anthem, Inc., affiliated Health Plans. Many new members are added and benefits are updated to the existing prescription drug program as of this date.

MedImpact Healthcare Systems, Inc. will begin processing for Baptist Healthcare System as of 1/1/2015.

Presbyterian Health Plan is implementing new claims processing requirements to expedite clarification and successful adjudication of rejections while ensuring access to safe and effective therapies for all Presbyterian Health Plan members.

If you have questions or concerns about CoventryCares of Kentucky pharmacy benefits or eligibility for Medicaid members please call the 24-hour Pharmacy Help Desk at 1.800.922.1557.

This is to make you aware that between January 1 and January 6,  MAC transactions processed through Tmesys were pricing at an incorrect MAC rate.  Many pharmacies received reimbursements far below cost or previous MAC prices.  This pricing issue has been corrected as of 11:30 am EST and all MAC drugs are now pricing correctly.  We are in the process of reviewing all transactions that were affected and re-pricing these at the correct MAC rate.