Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Stantec Consulting Services. 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: RX0145 Member ID Format: 9 digits Person Code : 2 digits

Please note that due to a federal mandate, all Texas Medicaid providers enrolled before January 1, 2013, must complete re-enrollment in Texas Medicaid by March 24, 2016. To be considered fully re-enrolled, providers must submit a completed re-enrollment application and receive notification from the Texas Medicaid & Healthcare Partnership (TMHP) that their application has been approved. To allow sufficient time for re-enrollment application processing, providers are encouraged to begin this process immediately. Medicaid providers who are not re-enrolled prior to the March deadline may experience:

• Interruption in reimbursement for Medicaid services

• Denial of claims for Medicaid services

• Difficulties with or removal from managed care organization (MCO)

Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Tetra Technologies. 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: RX0181 Member ID Format: 3 letter prefix followed by 9 numeric bytes Person Code : 2 digits

The Marketing Guidance on pharmacy/provider marketing activities applies to contracted pharmacies. This includes pharmacies which have entered into co-branding relationships with plan sponsors. Providers must not steer, or attempt to steer, potential enrollees toward a specific plan or limited number of plans. Providers may assist a beneficiary in an objective assessment of his/her needs and potential options to meet those needs. However, any assistance provided to a beneficiary by a contractual, co-branded, or otherwise affiliated provider, must result in a plan selection that is always in the best interest of the beneficiary. Providers may engage in discussions with beneficiaries should a beneficiary seek advice. However, providers must remain neutral when assisting a beneficiary with enrollment decisions.

RXBIN: 004336 RXPCN: ADV RXGRP: RX4037 CVS/caremark administers the prescription benefits for INTotal Health. Effective December 15, 2015, INTotal Health will make the following formulary changes: