About APCI

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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.

3

Dec

2015

CVS/caremark: Psychiatric Treatment Facility Discharge Behavioral Health Medication Override

Effective: December 1, 2015

Aetna Better Health of Louisiana is an existing plan sponsor with

CVS/caremark. Effective December 1, 2015, members who are

discharged from a psychiatric treatment facility must be provided up

to a 90-day supply of behavioral health medications.

If your pharmacy receives a reject for a member being discharged

from a psychiatric treatment facility for behavioral health medications,

please call the Pharmacy Help Desk to get an override for up to a 90-

day supply. The following or similar rejects may occur:

PA REQUIRED <<PA req MD call 855-242-0802, Fax 844-699-

2889. For up to 90 day psych facility discharge override, call

RPH desk 855-364-2977>>

NON-FORMULARY <<NF drug, contact prescriber. For up to 90

day psych facility discharge override, call RPH desk 855-364-

2977>>

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3

Dec

2015

Generic News 12.3.15

Generic News is back after the holiday weekend with news about the Weekly Generics Campaign and more!

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3

Dec

2015

OptumRx: Provider Manual Update

Effective: January 1, 2016

PROVIDER MANUAL UPDATE

The 2016 Provider Manual (PM)

Available Now

Applicable to OptumRx and its affiliate Catamaran

Network Pharmacy Providers

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3

Dec

2015

OptumRx: Cigna Pricing Policy Change for Compound Prescriptions

Effective: January 1, 2016

Cigna COMPOUNDED DRUG POLICY UPDATED TO IMPROVE SAFETY, LOWER COSTS

To help protect the health and well-being of our customers’, as well as manage the significant costs associated with compound drugs, Cigna is further enhancing the management of these products. For reasons related to safety and clinical effectiveness, Cigna's pharmacy benefit will only cover FDA approved drugs.

Beginning January 1, 2016, Cigna will apply this guideline to compounded medications.*

Cigna pharmacy benefit plans will no longer reimburse pharmacies for:

• Non-FDA approved bulk chemicals or other non-covered pharmaceuticals that typically make up the majority of many compounded drugs.

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3

Dec

2015

Prime Therapeutics: Claims Processing Outage Notification

Effective: December 5-6, 2015

Dear Valued Provider,


Due to system maintenance at Prime Therapeutics, our claims processing system will be unavailable for claims adjudication during the time frame listed below.

Saturday December 5, 2015 11:00 p.m. to Sunday December 6, 2015 4:00 a.m. (Central Time)


During this downtime, claims will not be processed.  Please communicate this information to your pharmacies.

If you have any questions regarding processing claims, please call the Prime Contact Center at 800.821.4795.


Thank you,

Pharmacy Network Management
Prime Therapeutics LLC
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