Bulletin - Rackcdn.com75b83d5f98d54e71a1b2-3771ce5dd895159073887a123e40a85a.r62.cf2.rackcdn.com/...

1 downloads 64 Views 21KB Size

Bulletin Medicare Part D – New Benefit Stage Qualifiers in 2013 Communication #107MG12 Date: December 13, 2012

What You Need To Know To accommodate NCPDP industry updates, new benefit stage qualifiers will be returned to pharmacies as part of the Argus project – Benefit Stage Qualifiers & Post Pay Changes. Benefit stage qualifier values of 61 and 62 will replace benefit stage qualifier 60, effective January 1, 2013, to identify a covered Part D drug vs. a non-covered Part D drug that is not paid under Part D but the supplemental or downstream payer has paid. The new benefit stage qualifier value of 90 was effective on December 6, 2012. Therefore, pharmacies can expect the benefit stage qualifier 90 to currently be returned to identify enhanced or over-the-counter drugs that are denied under Part D but the supplemental or downstream payer has paid. Action Required If you have any questions please contact the Argus Pharmacy Help Desk at 1-800522-7487, which is available 24 hours a day/7 days a week.

©2012 by Argus Health Systems, Inc. All Rights Reserved. The computer systems, procedures, databases, software programs, documentation and other materials (collectively "Information") created, maintained or provided by Argus Health Systems, Inc. ("Argus"), are proprietary to Argus and are confidential. 107MG12