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.

2

Nov

2015

US Script: Important Notice Regarding Third Party Liability Updates for Manages Health Services

Effective: October 1, 2015

Effective October 1, 2015: If a Managed Health Services (MHS) Member has primary insurance coverage other

than MHS, you will receive a transaction reject message when attempting to enter a prescription claim to MHS 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is no longer valid.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: 1-800-460-8988.

2

Nov

2015

Argus: MAC LIST

Please see attached Excel spreadsheet for the monthly Argus MAC list

2

Nov

2015

Medimpact: MDwise Marketplace

Effective: January 1, 2016

Please see attached PDF file for more information.

2

Nov

2015

NCPA Advocacy Center Update 11.2.15

This week's Advocacy Update includes news on Paul Ryan's election as Speaker of the House of Representatives, another DSCSA enforcement delay, concerns about the Walgreens / Rite-Aid merger, and much more!

2

Nov

2015

CVS/caremark: Aetna and Coventry First Health 2016 Drug Cost Changes FAQs

The following Questions and Answers are provided in response to feedback Aetna and Coventry First Health have received about our pharmacy pricing in the 2016 Medicare Plan Finder tool.

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