About APCI

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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.

24

Feb

2016

OptumRx: Prover Manual Update

Effective: January 1, 2016

In our efforts to continue to collaborate on the delivery of quality healthcare to our Members, we hereby inform you of the revised OptumRx Provider Manual ("Manual"), which replaces andsupersedes the previous versions of OptumRx’s and Catamaran’s respective manuals, and is now available at the following location:

http://learn.optumrx.com/pharmacymanual

The Manual is incorporated into your pharmacy agreement(s) with OptumRx and Catamaran. Whether you are contracted directly or indirectly through a PSAO or chain, as a participating network pharmacy provider you are responsible for understanding and complying with all of the Manual’s terms and conditions. Failure to comply with the Agreement and Manual may result in disciplinary action, up to and including termination from all pharmacy networks. Network pharmacy providers shall routinely consult the Manual to ensure compliance.

24

Feb

2016

OptumRx: OptumRx National Compounding Credentialing Program (NCCP) Pharmacy Requirements

OptumRx will continue to require pharmacies meet specific credentialing requirements. Catamaran previously communicated these requirements beginning in 2014, however as you are aware, Catamaran was acquired by OptumRx in July 2015 and as a result, the new entity is now communicating the requirement will be continued with the new combined organization.

Beginning in March 2016, additional OptumRx BIN/PCNs may begin accepting only compounds with APIs or API-Like ingredients (e.g. excipients) from pharmacies that have met the credentialing program requirements set forth in the OptumRx National Compound Credentialing Program (NCCP). OptumRx has chosen United Compounding Management as a strategic partner in this effort, and therefore will require all pharmacies complete credentialing.

Due to this impending change, OptumRx is proactively communicating to network pharmacy providers that provide compounding services to allow them the opportunity to complete a credentialing review prior to the implementation of the National Compound Credentialing Program. If you have already completed NCCP with Catamaran you do not need to complete credentialing again. If you have not completed credentialing and would like to complete prior to the impending addition of NCCP to the OptumRx BIN/PCNs, please contact our credentialing vendor below.

24

Feb

2016

Optumrx: United Healthcare Prescription Benefit Updates

Effective: January 1, 2016

Beginning January 1, 2016, several updates will be made to our pharmacy benefits. UnitedHealthcare seeks to make prescription drugs and supplies accessible and affordable to members through our Prescription Drug List (PDL) and benefit programs.The tables below provide a summary of these changes as well as a list of alternatives.

24

Feb

2016

OptumRx: Pharmacy Help Desk

This is a reminder that the UnitedHealthcare® Pharmacy Help Desk (PHD) is solely for use by our network pharmacies when they need to contact UnitedHealthcare’s pharmacy benefit manager, OptumRx®, to resolve prescription processing issues at the point of sale. The pharmacy help desk phone numbers should not be provided to UnitedHealthcare members. Doing so may increase hold times for pharmacies and could also delay resolution of a member’s questions or concerns. UnitedHealthcare members should call the Customer Service phone number on the back of their member identification (ID) card to have their questions and/or concerns addressed. Please refer to the OptumRx Pharmacy Manual if you have questions related to the use of the Pharmacy Help Desk. TO

24

Feb

2016

OptumRx: Silorsky, a Lockheed Martin Company

Effective 02-01-2016

Dear Pharmacy Provider: Effective February 1, 2016, all Sikorsky, a Lockheed Martin Company, Workers’ Compensation claims should be submitted to the following BIN/PCN combination below: For All Claims: Rx BIN: 010876 Rx PCN: CC Rx Submitted Group: CC4888 As always, please review the claimants ID card (sample below) and refer to the on-line adjudication system for applicable messaging, coverage and eligibility determinations.

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