COVID-19 PHARMACY UPDATE: RXADVANCE BULLETIN
This update applies to: All Network Pharmacies
Line of Business: Medicaid, Health Insurance Market, & Commercial
RXBIN: 020545 & 610315
RxAdvance is committed to the safety of its members. We are continuously monitoring the impact of COVID-19 based on information provided by our public health stakeholders such as the Centers for Disease Control (CDC), U.S. Food and Drug Administration (FDA) and the World Health Organization (WHO).
Currently, we are:
- Evaluating current FDA shortages to assess potential drug shortages caused by the inability to import drug products that may result in disruption in therapy for member(s).
- Monitoring rejected claims for potential trends related to the COVID- 19 outbreak (i.e. refill too soon or specific NDC issues).
- Reviewing national and international data, supported by public health stakeholders, to assess the severity of illness caused by COVID-19.
At this time, we have implemented public health emergency override procedures, which will disable refill too soon rejections to ensure members are able to access their prescriptions during this public health emergency should the need arise for a member.
Associated BIN Numbers: 020545 & 610315
Pharmacies: Please use Submission Clarification Code 13 (SCC13) to override refill too soon rejections. Days supply are limited to plan benefits.
Please do not hesitate to reach out to RxAdvance’s Help Desk for additional questions or assistance. For urgent requests, you may also contact firstname.lastname@example.org.
Contact Information per Plan
|Plan Name||Pharmacy Help Desk Number|
|Absolute Total Care (Healthy Connections)||(800) 930-5512|
|Ambetter from Absolute Total Care||(800) 475-6305|
|Ambetter from Illinicare Health, insured by Celtic Insurance Company||(800) 863-9317|
|Ambetter from Magnolia Health||(800) 779-2869|
|Ambetter from Peach State Health Plan||(800) 868-3982|
|Ambetter from Pennsylvania Health & Wellness||(800) 626-3813|
|Buckeye Community Health Plan – Medicaid||(800) 681-5632|
|Buckeye Community Health Plan (MyCare)||(800) 681-5632|
|Illinicare Health (Standard & Foster Kids)||(800) 678-6237|
|Iowa Total Care (IA Health Link & Hawki)||(877) 281-9627|
|Magnolia Health – Medicaid||(800) 671-2276|
|Magnolia Health – Medicaid CHIP||(800) 671-2276|
|Nebraska Total Care (Heritage Health)||(800) 974-5268|
|Peach State Health Plan (Georgia Families, PeachCare for Kids & Planning for Healthy Babies)||(800) 518-5973|
|Pennsylvania Health & Wellness (Community Health Choices)||(800) 681-4572|
|Ambetter Buckeye Health Plan||(800) 691-5206|
|SMART – District 1||(800) 974-2931|
|SMART – District 2||(800) 974-2931|