This fax is to notify you that NHPRI Integrity (i.e. NHPRI MMP) will be active as of 05/01//2016 in Rhode Island. We want you know as a part of its Network Validation efforts, CMS is currently making calls to pharmacies across the state of Rhode Island confirming the pharmacies that participate with NHPRI MMP. This fax confirms you are contracted to participate in the NHPRI MMP. The following items are required for submitting a claim for processing in our system for the Neighborhood Health Plan of Rhode Island Medicare Medicaid Plan: • RxBIN : 012353 • Rx PCN: 06470000 • Member ID: Unique identifier Lastly you can download a copy of the Neighborhood Health Plan of Rhode Island Medicare Medicaid Plan (MMP) payer sheet from our website at the following link: http://performrx.com/providers/payer-sheets Should you have any questions please contact Pharmacy Help Desk 1-800-555-5690 or Email: pharmhelpdesk@performrx.com

Payment Schedule Improvement Effective February 1, 2016: As you are aware OPUS Health currently reimburses your organization for all successfully processed claims on a bi-weekly schedule, however the payment dates are not consistent month over month. We recognized the challenge this presents with reconciliation of claims and tracking of payments and have made great strides in improving our process therefore simplifying the schedule. Please note the new semi-monthly payment process outlined below. As of February 1st we will convert to a semi-monthly payment schedule with payments (check dates) occurring on the 1st and 16th of each month. ·  Claims received and processed from the 1st to the 15th will be processed for payment on the 16th. ·  Claims received and processed from the 16th to the end of the month will be processed for payment on the 1st of the following month. The last billing cycle for January, currently scheduled to end on February 1st, will be shortened by one day to January 31st allowing the semi-monthly schedule to begin on February 1st. If you have any questions or require additional information, please call us at 1-800-364-4767 during regular business hours, Mon-Fri 8:30 AM - 5:30 PM ET.     If you are not the correct recipient for Plan Announcements for your organization, you are aware of others who should receive them as well, or you are having difficulty reaching the portal or logging in, please reply to the above address or call us at 1-800-364-4767 and we will be happy to assist you.   Thank you,   OPUS Health

As previously communicated on December 22, 2015, effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Barneys New York. Please update or create plan member profiles to reflect the changes regarding the following new plan adjudicating through CVS/caremark. NOTE: Some members may present cards that display "X0203" as the RXGRP number. Please add an "R" and submit the RXGRP value as "RX0203". RXBIN: 004336 RXPCN: ADV RXGRP: RX0203 Member ID Format: 5-digit alpha + 6-digit numeric Person Code : not required

Dear Pharmacy Provider: In accordance with Texas Labor Code §408.0281, Catamaran and Matrix Healthcare Services, Inc., DBA myMatrixx, are providing the following notification to their network healthcare providers in the state of Texas. Pursuant to the sixty (60) month agreement beginning January 1, 2011 (01/01/2011-12/31/2016), Catamaran provides myMatrixx with access to its network of providers at the discounted fee rate previously established by Catamaran and its providers. In an effort to comply with this Texas law, we are attaching a list of myMatrixx clients who may access our pharmacy network.

Per Indiana rule 405 IAC 5-24-8(a) prior authorization will be required for substitutable brand name drugs. Beginning on January 11, 2016, MDwise Medicaid (Healthy Indiana Plan and Hoosier Care Connect) prescriptions for which the prescriber has indicated "Brand Medically Necessary" will follow a new procedure for review and determination. Pharmacies will no longer be able to submit the claim with a DAW code of 6 or 9 for these prescriptions. For consideration of ‘Brand Medically Necessary’ claims, the prescriber will be required to submit a prior authorization request. Those requests will be considered within 24 hours. Prescribers should use the attached form to submit these requests, also found on the MDwise website, mdwise.org. BIN: 003585 PCN: ASPROD1 GRP: MDW