Per the 2016 Caremark Provider Manual, unless otherwise specified, Provider must notify Caremark in writing within ten (10) business days of any changes in the documentation and other information provided to Caremark in connection with enrolling as a Provider, including but not limited to, changes in credentialing or quality management initiatives, changes in name, telephone number, fax number, services, or ownership. Provider must notify Caremark in the event of a change in the pharmacy’s physical location, prior to the change.

Effective January 1, 2017, CVS Caremark® will exclude coverage for all new-to-market unapproved products and certain existing unapproved products that may be marketed contrary to the Federal Food, Drug, and Cosmetic Act (FFDCA). Coverage will remain for select unapproved products that are legally marketed1 or deemed clinically necessary (e.g., because no alternatives exist).

*Please see attached PDF for more information.

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 attached PDF for more information.

OPUS Health would like to inform you of the following new Copay Assistance Program(s) (see list below). This new program can be viewed on the OPUS Health Pharmacy Portal. Please use the link below to log in and select View New or Modified Programs to view the new program. If you have already created an account, use the email address and password you created to log in. If you do not have an account, please click on the link below and select Create Account to register. Registering takes just a minute or two and provides access to this and all active programs ? even some printable offers you can provide for your pharmacy customers.

Dear Valued Provider,

On December 26th, 2016, generic Relpax (eletriptan) will become available to the market. Please see the client specific attachments below for further processing instructions.


If you have any questions about claims processing, please call the Prime Contact Center at 800.821.4795.  

Sincerely,
Pharmacy Network Management
Prime Therapeutics LLC
Prime Therapeutics Contracting Fax number: 877-823-6373

*Please see attached PDF for more information.