About APCI

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(800) 532-2724

Since 1984, APCI has been the ‘united voice of independent pharmacy’

APCI began as a small buying group for a limited number of independent pharmacies in central Alabama. Since that time, the cooperative has grown to more than 1,800 members pharmacies in 26 states, and provides its members with a wide range of products and services.

Our mission is to represent the economic and professional interests of independent pharmacies by providing leadership, vision, and a collective voice for our members in the healthcare marketplace. Our goal is to level the playing field for our member pharmacies by providing innovative, targeted programs to benefit our entire membership.

11

Mar

2016

CVS/caremark: Procedures for System Downtime

March 13, 2016 - March 14, 2016

On March 13, 2016 from 12:00 a.m. ET to 5:00 a.m. ET, the CVS Caremark® claims adjudication system will be unavailable while maintenance is conducted. The following or similar reject will occur during this time: << HOST UNAVAILABLE >>. Providers must resubmit claims after maintenance is completed. As stated in the CVS Caremark Provider Manual, unscheduled system maintenance or other circumstances may occur when the adjudication platform(s) may not be available to adjudicate claims for a limited time. At any time, a Provider may contact the Pharmacy Help Desk for assistance or information regarding any claim processing related question. Pharmacy Help Desk Representatives are available 24 hours a day, 7 days a week. Note: Providers are reminded that, pursuant to the Provider Agreement, Providers must render services unless professional judgment dictates otherwise.

11

Mar

2016

PerformRx: Partners Health Plan

Effective: April 1, 2016

Dear Pharmacy Provider, The purpose of this letter is to notify you that, effective April 1, 2016; PerformRx will be providing pharmacy benefit management services to Partners Health Plan. Your provision of Pharmacy Services to Partners Health Plan members will be governed by the terms and conditions of your PerformRx Participating Pharmacy Agreement. The fee schedule for Partners Health Plan is the same as the fee schedule in the national agreement(s).

11

Mar

2016

CVS/caremark: INTotal Health

Effective: March 15, 2016

INTotal Health RXBIN: 004336 RXPCN: ADV RXGRP: RX4037 INTotal is an existing plan sponsor with CVS/caremark. Effective March 15, 2016, INTotal Health will make the formulary changes included on page two of this communication. Based on these changes, some medications may no longer be covered by the plan or may require additional Prescriber action to be covered.

11

Mar

2016

CVS/caremark: New Implementation for Bureau Veritas

Effective: April 1, 2016

Bureau Veritas Effective April 1, 2016, CVS/caremark will begin to administer the prescription benefits for Bureau Veritas. 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: RX0237 Member ID Format: 9 digits Person Code : 2 digits

11

Mar

2016

OptumRx: Benefit Qualifier and Benefit Stage field issue for Coordination of Benefits.

Effective: March 2, 2016

Dear Pharmacy Provider: On February 26 2016, an issue was identified for Independence Blue Cross Medicare Part D (IBCMEDD) plans regarding benefit stage qualifier fields and benefit stage amount fields being sent to the secondary payer. Because these fields were blank, the secondary payer could not coordinate benefits and pay the claim as secondary. This issue has been resolved as of 2/28/2016; please submit any claims to the secondary payer that could have experienced a rejected claim due to the BSQ and BSA fields.

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