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

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.

11

Feb

2016

Optumrx: UnitedHealthcare Community Plan* and OptumRx to Manage Pharmacy Benefits for Iowa Health Link Members

Effective: March 1, 2016

Effective March 1, 2016, UnitedHealthcare Community Plan will manage pharmacy benefits for Iowa Health Link members according to the state‟s preferred drug list. OptumRx, our pharmacy benefits manager, will handle claims processing for these new UnitedHealthcare Community Plan members, who will receive UnitedHealthcare Community Plan member ID cards as shown in the following example. Claims Processing Information Please submit claims using the following information. If you have questions, or if a member has not yet received their member ID card, please call the OptumRx Help Desk at 877-495-2272.

10

Feb

2016

Argus: USA Medical

Effective: February 18, 2016

What You Need to Know
Effective February 18, 2016, the USA Medical program will be processed through Argus
Health Systems.
Program Overview
Acquire Health, LLC will offer the program to uninsured and under-insured patients. The
patient will be responsible for the full cost of the claim, but will receive their medication
at a discounted rate. There is no anticipated end date for the program.

10

Feb

2016

CVS/caremark: Kentucky Medicaid

Effective: February 1, 2016

Coventry Cares of Kentucky is now known as Aetna Better Health of Kentucky Effective February 1, 2016, CVS/caremark will begin to administer the prescription benefits for Aetna Better Health of Kentucky (formerly known as Coventry Cares of Kentucky). Please use the new claims processing information below: RXBIN 610591 RXPCN ADV RXGRP RX8831 Member ID Format 15 bytes Person Code Not required

10

Feb

2016

CVS/caremark: New Implementation for Teamsters Health and Welfare Fund of Philadelphia and Vicinity

Effective: March 1, 2016

Teamsters Health and Welfare Fund of Philadelphia and Vicinity Effective March 1, 2016, CVS/caremark will begin to administer the prescription benefits for the Teamsters Health and Welfare Fund of Philadelphia and Vicinity. 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: RX0236 Member ID Format: 7 digits Person Code : N/A

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