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.

1

Dec

2015

Prime Therapeutics: Covered Person ID Information Update for Blue Cross Community Family Health Plan

Effective: December 1, 2015

Dear Valued Provider,

Effective December 1, 2015, Blue Cross Community Family Health Plan (FHP) experienced a large increase in their membership. Some Covered Persons may not have received their new identification cards prior to December 1, 2015.

Processing Requirements

To ensure uninterrupted service to Participating Pharmacies and Covered Persons, please use the following information for processing claims: RxBIN

011552

PCN

ILCAID

RxGroup

Read More...

1

Dec

2015

CVS/caremark: Procedures for System Downtime

Effective: November 30, 2015

ACTION REQUIRED: On November 30, 2015, the following or similar reject may

have occurred on some CVS/caremark claims: <<HOST UNAVAILABLE>>.

This unanticipated issue has been resolved. If you have not already done so,

please assist plan members and resubmit applicable rejected claims. Please contact

the plan member as appropriate once a paid claim has been captured. If the plan

member has paid cash and received the medication, please resubmit the claim and

refund the member as appropriate.

As a reminder, per the Caremark Provider Manual, from time to time, unscheduled

system maintenance or other circumstances may occur when the adjudication

platform(s) may not be available to adjudicate claims for a limited time. At any time, a

Provider may contact the Pharmacy Help Desk for assistance or information regarding

any claim processing related question. Pharmacy Help Desk Representatives are

available 24 hours a day, 7 days a week.

1

Dec

2015

Medimpact: CY2016 Changes: Part D Prescriber Validation Requirements

This notice contains important information about regulatory changes that will impact pharmacy processes starting in 2016. Please keep reading for details about how these Medicare Part D changes will impact your pharmacy’s processes.

1

Dec

2015

CVS/caremark: New Implementation for Case New Holland Industrial

Effective: January 1, 2016

Case New Holland Industrial

Effective January 1, 2016, CVS/caremark will begin to administer the prescription benefits for Case New Holland Industrial. 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: RX1596

Member ID Format: 9 digits

Person Code : 2 digits

1

Dec

2015

CVS/caremark: Aetna Consumer Business- Southeastern PA

Effective: January 1, 2016

Aetna Consumer Business Southeastern PA

RXBIN: 610502

RXPCN: AETCRXC

Member ID format: 12 bytes numeric

Effective January 1, 2016, Aetna will introduce new Individual, nonMedicare plans

called Aetna LeapSM .

Pharmacy network is smaller for new plans

The new network doesn’t include all pharmacies. It’s a smaller network of pharmacies.

As a participating pharmacy in this network, you can provide pharmacy services for

members in these plans. Please help our members with transferring prescriptions from

a nonparticipating pharmacy, if they ask. And, just use your standard guidelines.

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