About APCI

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(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.

11

Oct

2016

OptumRx: UnitedHealthcare - Texas STAR Kids Members

Effective November 1st 2016

Effective Nov. 1, 2016, UnitedHealthcare Community Plan will manage pharmacy benefits for STAR Kids members according to the state’s preferred drug list. OptumRx, our pharmacy benefits manager, will handle claims processing for these members, who will receive UnitedHealthcare Community Plan member ID cards as shown below. Please review the following information regarding pharmacy benefits for these members.

*Please see attached PDF for more information.

10

Oct

2016

Tmesys: Important Texas Network Compliance Information

In 2011, Texas Governor Rick Perry signed into law House Bill 528. This law requires certain actions on the part of Tmesys as your network pharmacy partner to ensure continued ability to maintain our current business arrangements and continue providing workers’ compensation pharmacy services in Texas.

First, according to Texas Labor Code §408.0282(a), Tmesys is currently registered with the Texas Division of Workers’ Compensation (TDWC) as a "Voluntary and/or Informal Network". This registration does not in any way supersede or interfere with the terms of our current network contracts or relationships. Tmesys will continue business as usual in Texas. In fact, current contractual relationships between Tmesys and network pharmacies ensure continued compliance with requirements found in Texas Labor Code §408.0281(c).

Second, in accordance with Texas Labor Code §408.0281(d)-(e), Tmesys is required to meet specific notification requirements to all providers within the network and must disclose to these providers specific information as required under §408.0281(d). To ensure ongoing compliance with these requirements, Tmesys provides the following network contact information:

10

Oct

2016

CVS Caremark®: Updated Natural Disaster Emergency Override Procedure

CVS Caremark® is dedicated to assisting Providers and Eligible Persons in response to emergencies resulting from natural disasters. In order to quickly serve members in those areas impacted by Hurricane Matthew, pharmacies can enter a code to override the refill-too-soon or duplicate therapy edit without calling the Pharmacy Help Desk. This applies to non-Medicare Part D plans only and may vary by Plan Sponsor.


*Please see attached PDF for more information.

10

Oct

2016

MedImpact Healthcare Systems, Inc. - State of Arkansas EBD Influenza Vaccine Network Rate Enhancement

Effective immediately

Effective immediately, we are implementing enhanced reimbursement rates for certain flu vaccine products administered to eligible members of State of Arkansas, Department of Finance Administration – Employee Benefits Division (“EBD”). Attached please find an Authorization to Participate form (“ATP”) which reflects the updated pricing provisions applicable to EBD flu vaccine claims. Please note that the effective date of this change will be made retroactive to July 1, 2016. Any claims adjudicated by your pharmacy prior to the date our system is updated with the revised pricing will be readjusted and the appropriate credits will be issued.

*Please see attached PDF for more information.

10

Oct

2016

US Script: Buckeye Health Plan - DISCONTINUATION OF SPECIFIC DIABETIC BLOOD GLUCOSE TESTING PRODUCTS

Effective June 1st 2016

Starting June 1, 2016 Trividia Health will no longer supply NDCs for diabetic blood glucose TRUEtest test strips.

The TRUEresult® and TRUE2go®blood glucose systems use TRUEtest test strips, which are GDH-PQQ enzyme-based test strips. For a very small percentage of the population with diabetes, the GDH-PQQ enzyme can interfere with certain drug products or therapies that contain non-glucose sugars. The manufacturer is phasing out the TRUEresult and TRUE2go blood glucose system and will work with you to transition your patients to the TRUE METRIX blood glucose system.

PHARMACIST: Dispense a TRUE METRIX® Meter at no cost or copay to the patient. Process the claim using the processing information listed below. Please use a prescription on file or call the patient’s physician to obtain a new prescription.

*Please see attached PDF for more information.

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