This week's Generic News includes savings with the Generics Campaign, along with a new generic launch.

In a claim review across Humana claims alone from September 1 – September 21, of this year Argus found 1202 paid claims Humana where APNS stores have submitting a decimal point in a Diagnosis Code field. After the edit is implemented in mid-to late October to reject diagnosis codes with decimals, those claims will require correction and resubmission.

*Please see the attached PDF for more information.

Becton Dickinson/CareFusion is an existing client with CVS Caremark®. Effective October 3, 2016, Becton Dickinson/CareFusion and Kingston Respiratory Payroll are splitting into two separate companies. CVS Caremark will begin to administer the prescription benefits for Kingston Respiratory Payroll as a separate plan. Members will receive new cards and new ID numbers.

*Please see attached PDF for more information.

This notice is being sent to notify you of changes for the TennCare pharmacy program. We encourage you to read this notice thoroughly and contact Magellan’s Pharmacy Support Center (866-434-5520) should you have additional questions.

Removal of agents from list of branded agents classified as generics

Effective November 1, 2016, the following agents will be moved to non-preferred status on the TennCare PDL and will be removed from the list of branded agents classified as generics meaning that they will now count as a brand toward members’ monthly prescription limits and copays.

*Please see attached PDF for more information.

Amendment to 2016 Caremark Provider Manual:

In the West Virginia Addendum to Caremark Provider Agreement a new section is added beginning on page 260.

*Please see attached PDF for more information