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.

6

Nov

2015

Argus: UPDATED MAC Pricing Changes (West Virginia)

MAC Pricing Changes

 

Date: November 5, 2015


What You Need to Know

 

Attention Argus WEST VIRGINIA Network Pharmacies:

 

The MCO (Managed Care Organizations for Medicaid) requires that you have the option to be notified in advance of changes to the generic pricing utilized for West Virginia Family Health beneficiaries.  Later this fall, we will be implementing enhancements to our Argus Pharmacy Portal which will allow you to subscribe to an alert system which will notify you when changes to the MAC pricing are being made.  When that enhancement is completed, we will send another bulletin with instructions on how to register for those alerts.

 

5

Nov

2015

Medimpact: University Medical Center, Lubbock

Effective: December 1, 2015

MedImpact

Healthcare Systems, Inc. will begin processing for University Medical Center, Lubbock as MedImpact Healthcare Systems, Inc. will begin processing for University Medical Center, Lubbock as of 12/1/2015.

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

If you have any questions, please feel free to contact our Pharmacy Help Desk at 844-282-5344 on or after 12/1/2015.

Thank you.

Please see attached PDF file for more information. of 12/1/2015.

4

Nov

2015

Aetna Medicare Part D - 2016 Participation Information for APNS Member Pharmacies

Effective: January 1, 2016

For 2016, APNS member pharmacies will be “participating” in ALL AETNA Medicare Part D plans; however, APNS pharmacies are NOT contracted as “preferred” pharmacies – meaning, if the plan is preferred, there will be a copay differential for the patient’s filling prescriptions at an APNS pharmacy.

4

Nov

2015

CVS/caremark: TRUE METRIX Preferred

Effective: December 1, 2015

Michigan Medicaid and MiChild

Molina Healthcare of Michigan

RXBIN: 004336

RXPCN: ADV

RXGRP: RX0506, RX0811, RX0843 and RX0868

Effective December 1, 2015, Molina Healthcare of Michigan is transitioning members who previously utilized FREESTYLE® glucometers and supplies to the TRUE METRIX® Self-Monitoring Blood Glucose System. TRUE METRIX® is preferred on the Molina Healthcare of Michigan formulary. Members impacted by this change received a TRUE METRIX® Self-Monitoring Blood Glucose System in the mail. Future fills for test strips will be for TRUE METRIX® test strips.

Read More...

4

Nov

2015

CVS/caremark: ICD-10 Diagnosis Codes

Effective: October 1, 2015

ICD-10 Diagnosis Codes

Effective October 1, 2015, only on claims which require a diagnosis code,

pharmacies must submit the following Diagnosis Code Qualifier of “02” in

NCPDP Field 492-WE, and a qualifying Diagnosis Code in NCPDP Field 424-

DO:

Ø2 International Classification of Diseases-1Ø-Clinical Modifications

(ICD-1Ø-CM) - Code indicating that the following information is a

diagnosis as defined by ICD-1Ø-CM.

In order to comply with this mandate CVS/caremark will no longer accept the

Diagnosis Code Qualifier value of ‘01’ – ICD-9.

Claim submitted with Diagnosis Code Qualifier value of ‘01’ – ICD-9 will reject

with the following or similar reject: Reject 39 <<M/I Diagnosis Code>>

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