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Bulletin AxiaRx Drug Discount Card Program BIN: 600428 Rx PCN: 05080000 Rx Group: 05990001 Communication #17MG12 Date: February 10, 2012 Effective Date: March 1, 2012 What You Need to Know Effective March 1, 2012, AxiaRx Drug Discount Card Program will be processed through Argus Health Systems. Program Overview AxiaRx is offering a discount card program to uninsured and underinsured patients. The patient will be responsible for the full cost of the claim, but will receive the medication at a discounted rate. There is no anticipated end date for the program. The discount card will be distributed to patients by AxiaRx. Program Parameters •

Member Eligibility:

o No Activation or enrollment is required. Program Benefits: o

Includes all NDCs


No Day Supply Limits

Pharmacy Networks: •

ANA – 101

ANA - 107

©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. 17MG12

Argus Health Systems, Inc. 1300 Washington St. Kansas City, MO 64105-1433 www.argushealth.com

Processing Claims Please use NCPDP version D.0 and provide the following required information for each claim submitted: BIN: 600428 Rx PCN: 05080000 Rx Group: 05990001 Member ID: As printed on the card Cardholder’s First and Last Name Patient’s First and Last Name Patient’s Date of Birth

Payer Sheets To view the payer sheets on www.argushealth.com: •

Click MyArgus link in the upper right-hand corner of the website.

Enter the User ID and the password.

Select Pharmacy

Under D.0 Payer Sheets select the PCN 05080000 payer sheet under the D.0 Commercial/Generic drop-down box.

Card Samples AxiaRx front of card

Argus bulletin – 2012

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AxiaRx back of card

Action Required For assistance processing claims, please contact the Argus Help Desk at 1-866-921-7284, which is available 24 hours a day/7 days a week.

Argus bulletin – 2012

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