Lots of news on the community pharmacy advocacy front this week, including mail order requirements, track and trace guidance, Part D lock-in programs, and more.

As 2014 comes to a close, CVS/caremark is providing the following information to assist your pharmacy with details regarding the Network Performance Program. 

• Effective December 18, 2014, Mirixa intervention opportunities will be closed.  Completing all Mirixa opportunities may help to improve your final performance score and could impact the performance payment your pharmacy will receive. 

Prime Therapeutics, LLC has contracted with CoverMyMeds® to provide an electronic prior authorization (ePA) solution that will allow Participating Pharmacies and Prescribing Providers the ability to submit PA requests online. This online solution allows Participating Pharmacies and Prescribing Providers to receive real-time notifications of the PA outcome.

Effective 01/01/2015 - OptumRx will manage claims processing for members of City of Knoxville.

Please note: All members of City of Knoxville will receive a new member identification (ID) card.  Please process prescriptions online using the City of Knoxville ID card information.

Please note an issue may occur when attempting to process claims for Medical Mutual of Ohio Employees. If a claim for a member with umbrella group MMODRUG rejects with NCPDP Reject Code 69 – "Filled After Coverage Terminated", please call the ESI Pharmacy Help Desk to obtain the active group number to process the claim.