Effective January 1, 2017, CVS Caremark® will begin to administer the prescription benefits for G6 Hospitality. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0354

Member ID Format: 11 digits, alphanumeric

Person Code : 2 digits, required

Patient Pay Amount: Please rely on the claims system to determine the correct amount to collect from the plan member, if applicable.

Effective January 1, 2017, CVS Caremark® will begin to administer the prescription benefits for QCR Holdings. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS Caremark.

RXBIN: 004336

RXPCN: ADV

RXGRP: RX7852

Member ID Format: 9 digits, numeric

Person Code : 2 digits

ID Card: Sample card images are not available at this time.

Patient Pay Amount: Please rely on the claims system to determine the correct amount to collect from the plan member, if applicable.

*Please see attached PDF for more information.

OptumRx will be performing scheduled maintenance to our claim processing system on Saturday, November 12 from 9:00p.m. (PT) until 5:00 a.m. (PT) Sunday, November 13. Actual maintenance time required for this outage may be reduced, at which point OptumRx will resume processing claims and other functions earlier.

Pharmacies will be unable to process claims during the scheduled outage. The Pharmacy Help Desk will not be able to answer eligibility or benefit questions during this down time. We apologize for any inconvenience this may cause.

TO REDUCE PROCESSING ERRORS, PLEASE CONFIRM THE INFORMATION ON MEMBER’S ID CARD PRIOR TO SUBMITTING PRESCRIPTION CLAIMS.

Should you have any questions or require assistance, please contact the OptumRx Help Desk, 24 hours a day, 7 days a week:

OptumRx Help Desk phone numbers:

1-800-797-9791

1-888-848-3375