PROGRAM BACKGROUND INFORMATION The section includes information relating to the State and WPE group health insurance pharmacy benefits and the Medicare Part D related coverage and is provided to assist the proposer in completing the RFP response document. This section is for informational purposes; no response is required from the proposer. For additional information on the programs, please review the following program information and related Web sites: Reference Materials Document Web Address Employee Trust Funds Internet Site WI State Statutes Ch. 40 State of Wisconsin Pharmacy Benefit Program Information (Fact Sheet) Prescription Drug Benefit/ PBM Program Specifics Your Choice” Group Health Insurance Booklets: “It’s 2010 State Decision Guide 2010 State Reference Guide Incl. Guidelines/Uniform Benefits 2010 WPE Decision Guide 2010 WPE Reference Guide Incl. Guidelines/Uniform Benefits Navitus Health Solutions web site https://www.navitus.com/ Navitus Member Handbook PBM_RFP_ETF_MemberBooklet_2010.pdf PBM Contract PBM_Contract_Main_20090824120706438.pdf PBM_Contract_1stAmend_20090824121053509.pdf PBM_Contract_2ndAddendum_20090824121143520.pdf PBM_Contract_BusAssocAddendum_20090824121122916.pdf Retiree Drug Subsidy Program CMS Medicare Section – DeanCare Rx web site Pharmacy Network: PBM_RFP_2009_ALL Contracted Pharmacies.xlsx ALL Contracted Pharmacies Pharmacy Network: PBM_RFP_2009_Contracted Independent Pharmacies.xlsx Contracted Independent Pharmacies Top 30 Independent Pharmacies PBM_RFP_2009_Top 30 Contracted Independent Pharmacies.xlsx Eligibility File Format & Layout PBMAuditFlatFileFormat.doc Documents PBMDUFileLayout.doc PBMETFRequiredFieldMapping.doc Member Census Data Zip PBM RFP_Member Census Data Zip Codes_April 2009_.xlsx” – – Member Census Data Coverage PBM RFP_Member Census Data Coverage_April – –
PROGRAM BACKGROUND INFORMATION The section includes information relating to the State and WPE group health insurance pharmacy benefits and the Medicare Part D related coverage and is provided to assist the proposer in completing the RFP response document. This section is for informational purposes; no response is required from the proposer. For additional information on the programs, please review the following program information and related Web sites: Reference Materials Document Web Address Employee Trust Funds Internet Site WI State Statutes Ch. 40 State of Wisconsin Pharmacy Benefit Program Information (Fact Sheet) Prescription Drug Benefit/ PBM Program Specifics “It’s Your Choice” Group Health Insurance Booklets: 2010 State Decision Guide 2010 State Reference Guide Incl. Guidelines/Uniform Benefits 2010 WPE Decision Guide 2010 WPE Reference Guide Incl. Guidelines/Uniform Benefits Navitus Health Solutions web site https://www.navitus.com/ Navitus Member Handbook PBM_RFP_ETF_MemberBooklet_2010.pdf PBM Contract PBM_Contract_Main_20090824120706438.pdf PBM_Contract_1stAmend_20090824121053509.pdf PBM_Contract_2ndAddendum_20090824121143520.pdf PBM_Contract_BusAssocAddendum_20090824121122916.pdf Retiree Drug Subsidy Program CMS – Medicare Section DeanCare Rx web site Pharmacy Network: ALL Contracted Pharmacies PBM_RFP_2009_ALL Contracted Pharmacies.xlsx Pharmacy Network: Contracted Independent Pharmacies PBM_RFP_2009_Contracted Independent Pharmacies.xlsx Top 30 Independent Pharmacies PBM_RFP_2009_Top 30 Contracted Independent Pharmacies.xlsx Eligibility File Format & Layout Documents PBMAuditFlatFileFormat.doc PBMDUFileLayout.doc PBMETFRequiredFieldMapping.doc Member Census Data – Zip PBM RFP_Member Census Data – Zip Codes_April 2009_.xlsx” Member Census Data – Coverage PBM RFP_Member Census Data – Coverage_April
PBM_RFP_Main_Post.docx