Effective January 1, 2017, CVS Caremark® will begin to administer the prescription benefits for Focus Brands. 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: RX0407

Member ID Format: 9 digits, numeric only

Person Code: 2 digits, required

*Please see attached PDF for more information.

Inside this issue of Express Scripts' Network Pharmacy Weekly you will find the following:

• Amerigroup/Anthem Formulary Updates
• Provider Manual Updates

*Please see attached PDF for more information.

RXBIN: 004336

RXPCN: MCAIDOH

RXGRP: RX0797

Children in Custody (CIC) is a new Ohio Medicaid population that will be enrolled in managed care starting January 1, 2017. These children are in the custody of their local County Public Children Services Agency (PCSA) or County Job and Family Services (CDJFS).

Before enrollment begins, ODM is conducting a small pilot to test plan readiness. The pilot began on November 1, 2016 and will be monitored throughout November and December.

There are seven counties participating in the pilot: Clark, Fairfield, Franklin, Lorain, Medina, Richland, Summit

Transition of Care Requirements have been expanded for this population. CareSource is committed to eliminating any barriers to care during their transition, and do not want to turn Case Workers or Foster Parents away without assistance. If you receive a rejected claim message for a CareSource member during the hours of 7 am – 5pm, please reach out to CareSource at 1-800-488-0134. After Hours (5pm- 7am) please reach out to the CVS Caremark Pharmacy Help Desk at 1-800-364-6331. Please indicate you are requesting assistance for a Child in Custody.