Bulletin


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Bulletin Citizens RX Drug Discount Card Program BIN: 015292 Rx PCN: 05750001 Bulletin #25BR12 Date: March 9, 2012 Effective Date: April 2, 2012 What You Need To Know Effective April 2, 2012, Citizens RX Drug Discount Card Program will be processed through Argus Health Systems. Program Overview Citizens RX 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 Citizens RX. Program Parameters • Member Eligibility: o

No activation or enrollment required.

• Program Benefits: o

Includes all NDCs

o

No Day Supply Limits

• Pharmacy Networks: o

ANA-101

o

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. 25BR12

All of the information on this page constitutes a trade secret, privileged or confidential information, as such terms are interpreted under the Freedom of Information Act and applicable case law.

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

Processing Claims Please use D.0 version of the NCPDP transaction standard and provide the following required information for each claim submitted: RxBIN: 015292 RxPCN: 05750001 Rx Group: As printed on card Member ID: As printed on card Patient’s First and Last Name Cardholder'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 left-hand corner of the website. • Enter the User ID and the password. • Select Pharmacy. • Select Citizens RX PCN 05750001 payer sheet under drop-down box. Card Samples

Action Required For assistance processing claims, please contact the Argus Health Systems Help Desk at 1-866-921-7284, which is available 24 hours a day/7 days a week. All of the information on this page constitutes a trade secret, privileged or confidential information, as such terms are interpreted under the Freedom of Information Act and applicable case law. Argus bulletin – 2012

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