©2015 by Argus Health Systems, Inc. All Rights Reserved. The computer systems, procedures, databases, software programs, documentation and other materials (collectively "Information") created, maintained or provided by Argus Health Systems, Inc. ("Argus"), are proprietary to Argus and are confidential. Bulletin MAC Pricing Changes Date: December 31, 2015 What You Need to Know Attention Argus WEST VIRGINIA Network Pharmacies: The MCO (Managed Care Organizations for Medicaid) requires that you have the option to be notified in advance of changes to the generic pricing utilized for West Virginia Family Health beneficiaries. Later this fall, we will be implementing enhancements to our Argus Pharmacy Portal which will allow you to subscribe to an alert system which will notify you when changes to the MAC pricing are being made. When that enhancement is completed, we will send another bulletin with instructions on how to register for those alerts. In the interim, we will be emailing the MAC changes to you at this email address. If you wish to OPT OUT, please reply to the email notification and add "OPT OUT" to the subject line before sending. We will gladly remove you from our distribution list. Action Required If you have any questions, please feel free to reach out to our MAC team via email to macinquiries@argushealth.com.

Effective January 1, 2016, Express Scripts will administer the State Health Plan prescription drug benefits for PEBA.

Please note that a new formulary will be employed that will increase copayments for some State Health Plan members. Targeted communication to impacted members has been delayed, and some members may be unaware of this change. Letters were mailed to impacted Medicare Prescription Drug program members on December 29, 2015. Letters to affected commercial members will be mailed January 5, 2016.

January 1, 2016, Express Scripts implementedthenew NCPDP Reject Code 777 (Plan'sPrescriberDataBaseNotAbleto Verify Active State License with Prescriptive Authority for PrescriberID Submitted), in order to be more in line with NCPDP standards.

Reject 777 results when a prescriber has an invalid taxonomy(prescriptive authority)for Medicare. If the pharmacist is confident the prescriber can write prescriptions for Medicare beneficiaries, he/she shouldreprocess the claim with a submission clarification code (SCC) value of 52 to override the reject.