Molina Healthcare of Ohio RXBIN 004336 RXPCN MCAIDOH RXGRP RX0714, RX0718, RX0759, RX0761, RX0854, RX0855, RX0867 Molina Healthcare of Ohio is an existing client with CVS Caremark®. Effective for dates of service on or after June 6, 2016, Ohio Medicaid covers insect repellent in response to the urgent public health issue associated with the Zika virus. Insect repellent is covered for any Medicaid consumer when appropriate to aid in preventing infection with the Zika virus. A prescription for insect repellent from an eligible Medicaid Prescriber is required for coverage.

CareSource RxBIN: 004336 RxPCN: MCAIDOH RxGRP: RX0797 CareSource is an existing client with CVS Caremark®. Effective for dates of service on or after June 6, 2016, Ohio Medicaid covers insect repellent in response to the urgent public health issue associated with the Zika virus. Insect repellents that contain DEET or pericaridin are covered for any Medicaid consumer when appropriate to aid in preventing infection with the Zika virus. A prescription for insect repellent from an eligible Medicaid Prescriber is not required for coverage.

South Carolina MedicaidAbsolute Total Care, Inc. Note: Updated information is included on page two. As previously communicated by US Script and CVS Caremark®, Absolute Total Care began using the CVS Caremark pharmacy network on May 2, 2016, while claims processing and payment remained with US Script. This notice is to inform you that effective September 1, 2016, CVS Caremark will begin to process claims for Absolute Total Care. All claims for Absolute Total Care 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 update or create plan member profiles to reflect the claims processing changes and note new phone numbers included in this communication. RXBIN: 004336 RXPCN: MCAIDADV RXGROUP: RX5433 Member ID Format: 10 digits, numeric

Illinois Medicaid IlliniCare Health Note: Additional information is included on page two. As previously communicated by US Script and CVS Caremark®, IlliniCare Health began using the CVS Caremark pharmacy network on April 13, 2016, while claims processing and payment remained with US Script. This notice is to inform you that effective September 1, 2016, CVS Caremark will begin to process claims for IlliniCare Health. All claims for IlliniCare Health 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 update or create plan member profiles to reflect the claims processing changes and note new phone numbers included in this communication. RXBIN: 004336 RXPCN: MCAIDADV RXGRP: RX5437 Member ID Format: 9 digits, numeric

The MedCare® Pharmacy Networks Policies and Procedures Manual (“P&P Manual”) has been updated and is available on the MedImpact website under the Pharmacy Portal at: https://mp.medimpact.com/pharmacyportal/public/Frameset.jsp?forwardUrl=/pharmacyportal/public/PoliciesProcedures.jsp