Seri alized d Pres criptio on Info ormat tion

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Serialized d Prescriptio on Info ormattion “At-a-G Glance” Informattion for Network N Providerrs 2 July 26, 2012 armacy Prov vider, Dear Pha W of New N York wiill require alll pharmacy cclaims subm mitted Effective September 20, 2012, WellCare e the prescription serial number in th he NCPDP S Scheduled P Prescription ID field (454 4to include age this ben EK). We ellCare of Ne ew York has contracted with w Catama aran to mana nefit. To asssist you with prescription processing, we have in ncluded proccessing guide elines below w. c that do not contain the NYS prescription p sserial numbe er or a code consistent w with  All claims the requirement r dicaid Encou unter Data (M MEDS) Dictionary (available below) will s in the Med rejec ct. 1) 1 2) 2 3) 3 4) 4

Prescripttions on hos spital or clinic c prescriptio on pads use HHHHHHHH; Prescripttions written by out-of-State prescrib bers use ZZZ ZZZZZZ; Prescripttions submittted by fax or electronica ally use EEE EEEEEE; Oral pres scriptions an nd pre-requirrement refill request (1 yyear post-im mplementatio on) use 9999 99999; 5) 5 For patie ent-specific orders o for nu ursing home patients and children in n foster care, use NNNNNN NNN; and 6) 6 For supp plies, use SS SSSSSSS. Processing Informa ation:  RxB Bin: 603286  RxP PCN: 01410 0000  RxG Group: 8562 257  Member ID: WellCare W sub bscriber ID Pharmac cies with que estions abou ut this notifica ation should d contact 1-8 800-288-544 41. During weekend ds and after normal busin ness hours, Catamaran is accessiblle to health ccare provide ers requiring pharmaceu utical service es. ou for your attention a to th his notice. We W appreciatte the care yyou render to o our members. Thank yo ou, Thank yo WellCare e of New York 

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