Beginning April 1, 2015, Express Scripts will be the pharmacy benefits manager (PBM) for Amerigroup Kansas members. Below are some important updates about the pharmacy benefit for these members.

TEMPORARILY your pharmacy was able to process claims for all Aetna Part D plans at CVS/Caremark Medicare Part D Network 12 and CVS/Caremark Medicare Part D Extended Days Supply Network 12 in network reimbursement rates. TEMPORARY ACCESS was effective for claims dating back to January 1, 2015. Please be advised that your TEMPORARY ACCESS for certain plans is through March 31, 2015.

This means that effective April 1, 2015 your pharmacy will receive Reject 40 (out-of-network) notices for claims submitted for the Standard and Standard Preferred Networks (Please download the PDF file listed below for more details).

This week's Generic News includes updates on the Weekly Generics Campaign, news from the FDA, and information from McKesson OneStop.

This week, the advocacy update includes details on the inclusion of provider status into a Senate budget bill, MTM legislation, and how TRICARE will cover compounded medications.

Beginning April 1, 2015, Express Scripts will implement the Other Health Insurance (OHI) portion ONLY of the new DoD Tricare pharmacy benefit program. This enhancement will allow their system to identify beneficiaries who have OHI.