Background As previously communicated on November 25, 2015, effective January 1, 2016, proration of a member’s daily cost share (copayment) in order to support the synchronization of prescription fills is being implemented by select fully-insured commercial and some State Medicaid and Marketplace Plan Sponsors. When implemented by a Plan Sponsor, this functionality will apply a daily cost-sharing rate to a prescription presented to a network pharmacy that is dispensed for less than the plan-defined one-month supply. IMPORTANT FOR PROVIDERS IN OHIO: Per OH Gen Assembly Sub. H.B. No.116, Section 1751.68 [Effective 8/31/2016], Provisions for medication synchronization for enrollees: An agreement that provides for medication synchronization by adhering to all of the stated conditions shall permit and apply a prorated daily cost-sharing rate for a supply of a prescription drug subject to medication synchronization that is dispensed at a network pharmacy.

Effective September 1, 2016, CVS Caremark® will begin to administer the prescription benefits for Venezia Transport. 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: RX0317 Member ID Format: 9 digits, alpha only Person Code : 2 digits, required

Effective August 1, 2016, many Plan Sponsors began to reimburse pharmacies for the dispensing and administration of vaccines. Please note that the vaccines covered can vary on a Plan Sponsor-by-Plan Sponsor basis. This communication provides a list of participating plan sponsors as of August 30, 2016. NOTE: The information provided in this notice is intended to assist participating Providers with claim submission. If you do not participate and do not intend to participate in a particular client-specific or other contracted vaccine administration network, please disregard this information. Claims Submission Information When submitting administered vaccines claims to CVS Caremark, utilize “MA code processing” and NCPDP fields 44Ø -E5 and 438-E3. As a reminder—pharmacists are required to be certified and/or trained to administer vaccines. Please check with individual state boards of pharmacy to determine if pharmacists can administer vaccines in your respective state(s).