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.

23

Nov

2015

Express Scripts: Amerigroup Kansas, Inc. Claims Processing Update

Effective: December 28, 2015

Effective December 28, 2015, Amerigroup will be adding drugs to their

Prior Authorization (PA) program for Medicaid. The goal of this program is to ensure the medication is being used for FDA-approved indications for therapy. PA criteria for the drugs listed in the table on page two of this communication were reviewed and approved by the Kansas Drug Utilization Review Board.

Please note that claims for the additional medications included in the PA program will reject with NCPDP reject code 75 (Prior Authorization Required). Please contact the prescriber for approval.

The prescriber/physician must request prior authorization by calling the Express Scripts pharmacy department at 1.855.201.7170 and following the prompts.

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20

Nov

2015

MeridianRx: Processing for Additional Commercial and Medicaid Plans

Effective: January 1, 2016

Effective January 1, 2016,MeridianRx will assume the responsibilities of pharmacy benefit management and claims processing for additional commercial and Medicaid lines of business.

To ensure uninterrupted service to our pharmacy network and members, please set up your software to reflect the following processing requirements prior to 01/01/2016:

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20

Nov

2015

Argus: MAC Pricing Changes (West Virginia)

November 19, 2015

MAC Pricing Changes

Date: November 19, 2015

What You Need to Know

Attention Argus WEST VIRGINIA Network Pharmacies:

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20

Nov

2015

Medimpact: Sutter Health Plus

Effective: January 1, 2016

MedImpact Healthcare Systems, Inc. will begin processing for Sutter Health Plus as of 1/1/2016.

Since you have already agreed to participate with MedImpact, there will be no information for you to return. Enclosed please find the following information to assist you in processing claims:

Sample ID Card(s)

Profile Sheet

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20

Nov

2015

Express Scripts: Network Pharmacy Weekly

November 19, 2015

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