Important Information Regarding Express Scripts Pharmacy Benefit Management Change
We will transition all pharmacy benefit management services from MedImpact to Express Scripts Inc. effective January 1, 2017. Those services include claims processing, pharmacy network contracting, and mail order pharmacy.
As a result of this transition, a new 2017 Member Card will be issued to all members with pharmacy benefits containing Express Scripts information needed by pharmacies to process claims through Express Scripts.
The following outlines when members may receive their Member Card upon their employer group’s renewal:
- Groups with renewal dates of February 1, 2016 – October 1, 2016 will have their new Member Cards effective January 1, 2017 sent in early November.
- Groups with renewal dates of November 1, 2016 – December 1, 2016 will have their current 2016 Member Cards sent upon renewal completion and their new 2017 cards sent in mid-December.
- Groups with a January 1, 2017 renewal date who have not submitted changes by December 1 will have their 2017 Member Cards issued based on current product structure. If changes are made after December 1, members “may” get another set of 2017 Member Cards depending on when the renewal has been received.
All 2017 member cards will have an insert enclosed explaining the reason for the new cards and instructions for use.
Prescription Drug Formulary Management
Our pharmacy management team will continue to oversee and manage ongoing strategies, formulary management and integrated care management programs. Our team will also continue to support your account management team to support your clients with trend management programs and benefit consultation. In short, we remain the service lead to your clients. We will not be utilizing Express Scripts prescription drug formularies.
Pharmacy Participation and Electronic Claims Routing
We anticipate most pharmacies that currently participate in the MedImpact network will participate in Express Scripts network. These pharmacies are familiar with our members; the only change will be where the claim is electronically routed via BIN/PCN/GRP numbers. Express Scripts’ participating pharmacies will also receive a sample of our member ID cards to help identify our members and the BIN/PCN/GRP. The Express Scripts Pharmacy Help Desk number is 1-800-922-1557.
Effective Date BIN PCN GRP Line of Business
1/1/2017 3858 A4 EXLHPRX Univera Commercial
1/1/2017 3858 MD EXLMDRX Univera Medicare
1/1/2017 3858 A4 EXLHXRX Univera Exchange
Changes to the Website
Members will notice a change in appearance for several of our popular features on the Prescription Drug section of our website. Changes include viewing drug benefits and claims, comparing drug costs and locating pharmacies.
Our goal is to keep you and your clients informed and to ensure a smooth transition for our members. If you have any questions related to this transition, please contact your account service representative.
For more information, contact your account consultant.