About APCI

APCI logo

Not a member?
Join today!

(800) 532-2724

Since 1984, APCI has been the ‘united voice of independent pharmacy’

APCI began as a small buying group for a limited number of independent pharmacies in central Alabama. Since that time, the cooperative has grown to more than 1,800 members pharmacies in 26 states, and provides its members with a wide range of products and services.

Our mission is to represent the economic and professional interests of independent pharmacies by providing leadership, vision, and a collective voice for our members in the healthcare marketplace. Our goal is to level the playing field for our member pharmacies by providing innovative, targeted programs to benefit our entire membership.

3

Jan

2017

CVS Caremark®: BlueCross BlueShield of South Carolina

BlueCross BlueShield of South Carolina (BCBSSC) is an existing plan sponsor with CVS Caremark®. As a reminder, all claims for all members should be submitted using the claims processing information above. Note: The Rx Group is SCB15 for all plan members.

*Please see attached PDF for more information.

3

Jan

2017

CVS Caremark® Part D Services: United Airlines - No Changes to EGWP RXGRP

A number of United Airlines Medicare retirees that currently have SilverScript coverage were sent an additional ID card for United Airlines commercial coverage through CVS Caremark® in error. Please do not submit the claims to the commercial RxGroup RX0403. Please continue to submit the claims through their SilverScript benefit using the RxGroup of RXCVSD.


*Please see the attached PDF for more information.

3

Jan

2017

Argus: Bulletin Communication #02TP17 - 2017 Medicare Opioid Overutilization Edits and POS Override Capabilities

Effective January 1st 2017

To comply with new regulations from the Centers for Medicaid and Medicare Services (CMS), most Medicare Part D Plans and some commercial plans will be implementing new edits to help manage opioid use within their Medicare populations.

*Please see the attached PDF for more information.

3

Jan

2017

CVS Caremark®: Envolve Pharmacy Solutions - Managed Health Services Insurance Corp.

Effective January 1st 2017

As previously communicated by Envolve Pharmacy Solutions (formerly US Script) and CVS Caremark®, Managed Health Services Insurance Corp. (MHS) began using the CVS Caremark pharmacy network on April 13, 2016, while claims processing and payment remained with Envolve Pharmacy Solutions. This notice is to inform you that effective January 1, 2017, CVS Caremark will begin to process claims for MHS. All claims for MHS will now be reimbursed according to your CVS Caremark Network Enrollment Forms and be paid according to CVS Caremark processing rules and payment cycles, which will appear on your CVS Caremark 835 or remittance advice.

*Please see attached PDF for more information.

3

Jan

2017

CVS Caremark®: Aetna - Claims Reprocessing Procedures

ACTION REQUIRED: On December 27, 2016, the following or similar reject may have occurred on some Aetna claims: Reject 85: <<Claim Not Processed>>. This unanticipated reject has been resolved.

According to our records your pharmacy had claims impacted by this reject. If you have not already done so, please assist plan members and resubmit applicable rejected claims from the affected date of fill (December 27, 2016). Please contact the plan member as appropriate once a paid claim has been captured. If the plan member has paid cash and received the medication, please resubmit the claim and refund the member as appropriate.

First529531Last