Effective January 1, 2015, National Script, a new PBM will begin to utilize the MeridianRx Pharmacy Network for claims processing . Please ensure to update your systems with National Script’s BIN and PCN number as seen below.

Additional cases for the HealthSpring Star Ratings Program will be released to pharmacies on Monday, November 24th.

Effective November 12, 2014, there was a change in the Prior Authorization requirements on Schedule II, III and IV opiate-containing medications for CoventryCares of Michigan.

The Mississippi Medicaid program will be expanding membership in UnitedHealthcare Community Plan MississippiCAN (MS CAN), and OptumRx will process pharmacy claims for these new members.

Effective January 1, 2015, Magellan Medicaid Administration, Inc., d/b/a Magellan Health Services, will assume administrative operation of the Pharmacy Benefit Management (PBM) program for Tennessee CoverRx from the current administrating company, Express Scripts. At that same time, pharmacies will submit claims for payment through the new PBM system. The new system will provide point-of-sale (POS) claims processing.