Your pharmacy chain or PSAO is contracted with Gateway Pharmacy Networks to fill prescriptions for Citizens Rx client Pinellas County (FL) Health Program (a.k.a. the “Blue Card”).  Pinellas County Health Program has requested that we issue the attached message to our contract pharmacies in Pinellas County. It is a reminder to the pharmacies regarding who to contact for support for this program, and to properly guide the Pinellas County Health Program members on who to contact for support.   

Should you have questions regarding this notice, please submit your question(s) to:  providerrelations@gateway-networks.com

*Please see attached PDF for more information.

Dear Pharmacy:

This notification is to inform you of point-of-sale (POS) drug utilization review (DUR) edits which are being enforced by Virginia Premier Health Plan, processed by EnvisionRx effective October 01, 2016.

The attached sheet describes in detail the steps needed to properly evaluate and/or adjudicate the DUR edits as they may arise for claims with a Morphine Equivalent Dose (MED) > 90.

Should you have any questions, please contact our VPHP Pharmacy Help Desk at 1-855-872-0005.

Sincerely,

EnvisionRxOptions

*Please see attached PDF for more information.

Molina Healthcare of Florida administers prescription benefits throughout the State of Florida. After a detailed analysis considering time, distance, patient volume and costs, Molina Healthcare of Florida is changing its pharmacy network that serves its Marketplace members. Beginning November 1, 2016, members will only be allowed to fill covered prescriptions at pharmacy providers in the custom network. Your facility is not included in this custom network.

Molina Healthcare is always striving to ensure its members have access to care to meet their healthcare needs.

Your cooperation in guiding the membership affected by this change, and facilitating the transfer of prescriptions refills for these members to network providers, will be greatly appreciated.

APCI has received notice from several of our members that MedImpact is now recouping amounts based on DAW audits for prescriptions filled via e-script. These scripts were not deemed valid at the date of fill, because a law passed many years ago requiring the physician to write in his/her own handwriting on the face of the prescription either “medically necessary”, “do not substitute” or “dispensed as written.”