Weekly Update Care June PBM and Plan Updates MCC SPOTLIGHT Nationwide Updates Supervalu Celebrates 70 Years Supplying Ukrop’s
• Effective immediately, Health Partners will require PA for all
brand and generic strengths of OxyContin®
Ukrop’s Supermarket has recently celebrated 70 years of
partnership with their supplier Supervalu.
At a recent reception, Jeff Noddle Chairman and CEO of
• Effective immediately, Coventry Health will cover Brand Name
Supervalu presented Bobby Ukrop, President and CEO
of Ukrop’s with a custom oil painting, which shows their
original Ukrop’s location on Hull Street in Richmond, VA
along with Joe and Jacqueline Ukrop, the company’s
HealthTrans • Effective immediately, HealthTrans has begun to process
founders. Bobby also received their original application
claims for the Hyde Rx Cash (discount plan). BIN#: 011867,
for membership to Richmond Food Stores, Inc., which
• NOTICE: During the month of JUNE the Health Trans claims
Ukrop’s stores are located throughout Central Virginia,
processing system will be down for approximately 4 hours
with headquarters in Richmond, Virginia.
starting at 10 pm Mountain Time (12 am – 4am EST, 9 pm – 1
am PST, 11 pm – 3 am CST). The scheduled days are June 3,
To read the complete article please see:
• Effective 07/01/08, First DataBank (FDB) will no longer
publish the Generic Product Indicator (GPI) flag within the drug
file. GPI is the industry standard by which brand and generic pr
oducts are differentiated and how reimbursements are paid to
pharmacies. Because of this FDB change, Health Trans has
created new brand/generic flags to ensure proper claims
Generic Wellbutrin XL 150mg is now available.
processing and appropriate reimbursements.
va Pharmaceuticals will be the exclusive supplier on the
eric form of Wellbutrin XL (bupropion) 150mg in 30 and 500
count sizes. Budeprion XL is the generic name for this product
and it has been added to the SourceSM Generics listing.
• Effective 06/01/08 BMC HealthNet members should have new
Please contact your representative for more information.
ID cards; these cards will begin with the letter “B”. Please use
these new cards or claims submitted will reject with Edit 68 –
MAC Success Opus Health lodipine ER 10mg Erythromycin 2%
• Effective immediately, Opus Health is processing claims for
Diovan/Diovan HCT tablets. BIN#:601341, PCN #:OHCP,
• Effective immediately, Opus Health is processing claims for the
Welchol Tablets patient assistance plan. BIN#:601341, PCN: OHCP, Grp#: OHC330107 Product -Welchol 625 mg
Continued on Page 2 of this Managed Care Weekly Update Medco Navitus For questions and additional information, please contact the Managed Care Connection Help Desk at 877.292.3196 Weekly Update Managed Care Managed Care Managed Care PBM and Plan Updates Nationwide Updates Opus Health • Effective immediately, Opus health has begun to process claims for the Fosrenol® Tablets through the co-
pay/cost assistance card plan. BIN#: 601341, PCN#:OHCP, Grp #: OHC310608 (Debit Rx®), OHC312608 (Cost
Assistance) Please note this program covers the following products:
• Effective immediately, Opus Health is processing claims for the Myfortic ® delay-release tablet program.
BIN #:601341, PCN #: OHCP, Grp #:OH7101011
• NOTICE: Below is a list of US Script health plans and their NPI acceptance status, please process claims
Health Plan NPI Acceptance Status
University Health Plan – NJ (UHP) Accepting-not
State/Region Updates CA, CT, MA, NJ, NY, OR, RI, VT, WA Health Net • Effective immediately, HealthNet members taking Lipitor®, Crestor®, Lescol® or Lescol XL® can receive their
first six-months (a 180-day total supply) free if they choose to switch to simvastatin, pravastatin, or lovastatin. Eligible members will receive a letter offering to waive their first six consecutive months of copays; members must present this letter along with their ID card and new prescription. This program does not apply to Health Net Medicare Part D members. FL HealthTrans • Effective immediately, HealthTrans has begun to process claims for 2 new plans: William Wallace Enterprises
and Continental Farms Inc. BIN #:009117, PCN #: HT, Grp #: William Wallace=WWE3400, Continental Farms=CFS1300
For questions and additional information, please contact the Managed Care Connection Help Desk at 877.292.3196 Weekly Update Managed Care PBM and Plan Updates Managed Care State/Region Updates FDA Advises Patients to Switch Albuterol Inhalers Now ME, NH, VT, MA, RI, CT
The Food and Drug Administration has issued a public health
• Effective 06/01/08, Medco will begin to process claims for
advisory to alert all patients who use CFC (chlorofluorocarbon)
RESAMP members. Bin#: 610014, Grp #: RAHSRXS.
propelled inhalers to switch to the HFA (hydrofluoroalkane)
propelled Albuterol inhalers. The CFC propelled inhalers will
no longer be available in the United States after December 31,
• Effective immediately, RxAmerica will allow on-line COBs
for UCare Medicare. BIN #: 012189, PCN: MN=5029,
The CFC inhalers are being phased out, as they are harmful to
The FDA has approved 3 HFA inhalers: Proair HFA Inhalation
Aerosol, Proventil HFA Inhalation Aerosol, and Ventolin HFA
• Effective immediately, when processing claims for New
Inhalation Aerosol. In addition, an HFA-propelled inhaler
Mexico Medicaid the prescribers NPI number must be
containing levalbuterol, a medicine similar to Albuterol, is
included on each claim and the prescriptions must be
available as Xopenex HFA Inhalation Aerosol.
written on tamper resistant prescription pads
Patients need to familiarize themselves with the HFA versions
as the spray may taste different and feel softer than CFC-
• Effective immediately, WellPoint NextRx will begin to
In addition, HFA inhalers need to be cleaned regularly to
process claims for South Carolina Medicaid.
prevent blockages in the device that could prevent the
These inhalers treat wheezing in patients with asthma and
• Effective immediately, Catalyst will begin to process claims
for United Employees Benefit Trust (UEBT).
To see the complete articles please see:
BIN #: 005947, PCN #: CLAIMCR, Grp #: UEBT
FDA Advises Patients to Switch to HFA-Propelled Inhalers, U.S.
In the Know NACDS Endorses Letter Sent to Hill Leaders Regarding Health Information Technology and E- Prescribing
NACDS has joined AARP, the Business Roundtable, the National Federation of Independent Business, the Service Employees International Union and other members of the Divided We Fail healthcare reform coalition in sending a letter to congress urging action on the Health
Information Technology (HIT) and e-prescribing legislation. Steven C. Anderson, President and CEO of NACDS, stated that the letter reflected two priorities of NACDS: advancing healthcare reform principles and working to define the pharmacy’s role in healthcare delivery. To read the complete article please see: Letter to Hill Leaders on Technology Reflects NACDS' Focus on Reform Principles For questions and additional information, please contact the Managed Care Connection Help Desk at 877.292.3196
Reducing Patient Drug Acquisition Costs Can Abstract lion per year,1 and health insurance expen-Concerned about rising prevalence and costs ofditures for the individual with diabetes arediabetes among its employees, Pitney Bowes Inctriple those of the average consumer.2 Fromrecently revamped its drug benefit design to syner-the US employers’ perspective, the burden ofgize with ongoin