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.

10

Nov

2015

US Script: Import Notice Regarding Third Party Liability Updates

Effective: October 27, 2015

Effective October 27, 2015: If a Absolute Total Care Health Plan member has primary insurance coverage other

than ATC, you will receive a transaction reject message when attempting to enter a prescription claim to ATC as

primary.

The transaction reject message will show the member’s current primary insurance processing information along

with a point-of-sale message of reject code: 41 - SUBMIT BILL TO OTHER PROCESSOR OR PRIMARY PAYOR. For

specialty medications, the claim will be allowed to process as long as the primary has already paid. Other

coverage codes 2, 4 and 8 are allowed for non-primary claims to process in the event the TPL has already paid or

is no longer valid.

Please use the following process for members who no longer have primary insurance:

Pharmacy tech or pharmacist will need to call the US Script Pharmacy Help Desk to confirm rejection

from primary payer information on file. Approval will be requested and a call will be returned with a

decision.

Please direct any questions to the US Script Help Desk at: (800) 460-8988

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9

Nov

2015

NCPA Advocacy Center Update 11.9.15

This week's Advocacy Update includes information on the new chairman of the House Ways and Means Committee, an "invite-only" forum on drug costs hosted by HHS, and scheduled investigations by the OIG.

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9

Nov

2015

Express Scripts: Retail Providers Expected to Fill Prescriptions at Point of Sale

Retail Providers Expected to Fill Prescriptions at Point of Sale

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6

Nov

2015

Express Scripts: Network Pharmacy Weekly

November 5, 2015

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6

Nov

2015

CVS/caremark: PLAN UPDATE For Specific Medicare Part D Plans INVEGA

The generic for INVEGA® recently became available in the marketplace;

however, select Medicare Part D plans adjudicating claims through

CVS/caremark will continue to cover the brand name INVEGA® at the Non-

Preferred Brand Tier in 2015 and Preferred Brand Tier in 2016.

The generic paliperidone will NOT be covered for these Medicare Part D plan

members. Please continue to dispense INVEGA® rather than substituting

the generic (paliperidone). If claims for the generic are submitted, the

following reject will occur:

Reject 70 <<Dispense Brand - INVEGA>>>

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