US Script and CVS Caremark® are pleased to announce that effective November 1, 2016, CVS Caremark will begin to process claims for Sunflower Health Plan. All claims for Sunflower Health Plan will be reimbursed according to your CVS Caremark Network Enrollment Forms and will be paid in accordance with the Kansas Department of Health & Environment requirements for KanCare Medicaid pharmacy claims. Sunflower Health Plan claims will appear on your CVS Caremark 835 or remittance advice.

*Please see attached PDF for more information.

Healthfirst

• RXBIN: 004336

• RXPCN: ADV

• RXGRP: RX1108

• Member ID Format: 9 digits

• Person Code : 2 digits

Healthfirst is an existing client with CVS Caremark®. Effective October 1, 2016, Healthfirst members will be transitioned to a limited network that continues to meet member access requirements.

FutureScripts® will continue to manage claims processing for members of IBC Commercial plans and IBC National Alliance plans. Effective 10/1/16 the BIN/PCN will route from Argus to RxCLAIM (Catamaran, an OptumRx company) for claims with fill date on or after 10/1/16. Claims with fill dates prior to 10/1/16 will continue to route to Argus platform.

*Please see attached PDF for more information.

This notification is to advise pharmacy providers of future formulary changes in the MedImpact Healthcare Systems, Inc. Medicare Part D Formularies. A list of drugs along with the description of the change and effective date is included in the formulary change portion of this notification which is available on the ChainDrugStore.net network (www.chaindrugstore.net). These changes will go into effect in 60 days coinciding with CMS required 60 days notice to Beneficiaries of any negative formulary changes.

*Please see attached PDF for more information.

As previously communicated by US Script and CVS Caremark®, Ambetter from Superior HealthPlan began using the CVS Caremark pharmacy network on July 19, 2016, while claims processing and payment remained with US Script. This notice is to inform you that effective January 1, 2017, CVS Caremark will begin to process claims for Ambetter from Superior HealthPlan. All claims for Ambetter from Superior HealthPlan will now be reimbursed according to your CVS Caremark Network Enrollment Forms and be paid according to CVS Caremark processing rules and payment cycles, which will appear on your CVS Caremark 835 or remittance advice.

*Please see attached PDF for more information.