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.

24

Feb

2016

OptumRx: WECTEC

Effective: April 1, 2016

Catamaran, an Optum Rx Company, would like to notify you of the Rx Group change for members of WECTEC. Please note: All members of WECTEC will receive a new member identification (ID) card as shownbelow. Please process prescriptions online using the WECTEC ID card information.

24

Feb

2016

OptumRx: Processing of Compounded Medications

Effective: Immediately

Health New England and Minuteman Health will no longer allow pharmacies to submit compounded medication claims with a clarification code of 8 (process for approved ingredients). When receiving a rejection on a specific ingredient, please check to see if this ingredient is on our compound exclusion list below. If it is a covered ingredient, please resubmit the claim with a different NDC number for the desired product.

24

Feb

2016

Medimpact: Medicare Prescription Drug Coverage and Your Rights form distribution

This is a reminder of the requirement to provide the "Medicare Prescription Drug Coverage and Your Rights" form to Medicare Part D enrollees whose claims are not paid under the Medicare Part D benefit. MedImpact is using NCPDP standard reject/approval codes that inform pharmacies to provide the standard "Medicare Prescription Drug Coverage and Your Rights" form to Medicare Part D enrollees. In addition, there is another MedImpact message to further explain why the notice needs to be provided to the beneficiary.

Attached is the finalized document. This is a standardized notice, the content of which may not be altered. The notice must be provided in 12 point font. The OMB control number must be displayed in the upper right corner of the notice. The fields for the enrollee’s name and the drug and prescription number are optional and may be populated by the pharmacy. Pharmacies may place their logo in the space above the optional fields for the enrollee’s name and the drug and prescription number.

24

Feb

2016

PerformRx: Override Code 502

Dear Pharmacy Provider, In an effort to assist your pharmacy when members no longer have primary insurance, PerformRx has implemented an override code that will allow the claim to process as primary for only these instances. If the member states that he/she does not have any other coverage, you may enter an override code of: 50220 in the authorization field appropriate for your pharmacy software. Please note that this override code will be audited to ensure that pharmacies are using the code appropriately. To the extent that pharmacies misuse this override code, upon audit, these claims will be taken back as ACLA is always the payer of last resort according to state and federal regulations. Please contact us at 800-555-5690 with any questions. Thank you. Sincerely, PerformRx Pharmacy Network Department

24

Feb

2016

OptumRx: Dish Network LLC

Effective: March 1, 2016

OptumRx will assume responsibility for claims processing for members of Dish Network L.L.C. Please Note:  All plan participants of Dish Network L.L.C. will receive a new member identification (ID) card. Please refer to the sample of the new ID card below.  Prescriptions need to be processed on-line using the Dish Network L.L.C. ID card information.

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