Important Mirixa Notification

Additional CVS Caremark MTM Program Cases (CMR cases) have finished releasing to your pharmacy on the MirixaPro platform. Since Mirixa was unable to provide a forecast/case potential report for this release, they have gone ahead and added a one week extension to assist your pharmacy with case completion. The new due date for these cases will be June 2^nd.

This week's Generic News includes information on McKesson OneStop formulary changes, a new generic release by Perrigo, an obsolete product from Teva, and – as always – the current Generics Campaign.

Retail claims transitioning from US Script pharmacy networks to pharmacy networks contracted and managed by CVS/caremark for members enrolled in Peach State Health Plan will continue to process through US Script. • Claim processing BIN#: 008019 • Pharmacy Payment: Claims will be paid according to current US Script payment processing rules and payment cycles and will continue to appear on your US Script electronic 835 or remittance advice. The reimbursement calculation methodology will be the lesser of: (i) AWP Discount plus Dispensing Fee or (ii) MAC plus Dispensing Fee or (iii) U&C. This transition will not impact the following US Script pharmacy networks: Extended Day Supply, 340B, Specialty, Compound, Vaccine Please contact US Script if you have any questions regarding pharmacy benefits processing for Peach State Health Plan members. We look forward to working together to provide quality pharmacy services to these members. Please direct any questions regarding covered items to the US Script Help Desk at: 1-800-460-8988

Retail claims transitioning from US Script pharmacy networks to pharmacy networks contracted and managed by CVS/caremark for members enrolled in Ambetter from MHS will continue to process through US Script. • Claim processing BIN#: 008019 • Pharmacy Payment: Claims will be paid according to current US Script payment processing rules and payment cycles and will continue to appear on your US Script electronic 835 or remittance advice. The reimbursement calculation methodology will be the lesser of: (i) AWP Discount plus Dispensing Fee or (ii) MAC plus Dispensing Fee or (iii) U&C. This transition will not impact the following US Script pharmacy networks: Extended Day Supply, Specialty, Compound, Vaccine Please contact US Script if you have any questions regarding pharmacy benefits processing for Ambetter from MHS members. We look forward to working together to provide quality pharmacy services to these members. Please direct any questions regarding covered items to the US Script Help Desk at: 1-855-339-4810

Retail claims transitioning from US Script pharmacy networks to pharmacy networks contracted and managed by CVS/caremark for members enrolled in Ambetter from Magnolia Health will continue to process through US Script. • Claim processing BIN#: 008019 • Pharmacy Payment: Claims will be paid according to current US Script payment processing rules and payment cycles and will continue to appear on your US Script electronic 835 or remittance advice. The reimbursement calculation methodology will be the lesser of: (i) AWP Discount plus Dispensing Fee or (ii) MAC plus Dispensing Fee or (iii) U&C. This transition will not impact the following US Script pharmacy networks: Extended Day Supply, Specialty, Compound, Vaccine Please contact US Script if you have any questions regarding pharmacy benefits processing for Ambetter from Magnolia Health members. We look forward to working together to provide quality pharmacy services to these members. Please direct any questions regarding covered items to the US Script Help Desk at: 1-855-339-4807