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Pharmacy Help Desk 

ACAA  1-866-224-0176 
AHM 1-855-831-3592 
First Medical 1-855-831-3591
First+Plus 1-855-831-3595
PICA 1-866-993-7422 
PSM 1-855-831-3594 
PROSSAM 1-855-831-3593
TSS 1-855-922-2722
UPR 1-866-578-7274
Compliance & FWA  
Hotline             1-855-831-3596


Plan Sponsor Announcements

New Client Effective January 1, 2014 - Triple S Medicare - see document for processing requirements (e.g., RxBIN, RxPCN, RxGroup).

Cliente nuevo efectivo 1 de enero de 2014 - Triple S Medicare - ver documento para requerimientos de procesamiento (e.g., RxBIN, RxPCN, RxGroup).

Compliance & FWA Resources

Medicare Compliance and FWA Training (revised 02/2013)

2014 FWA Attestation_ENG (English) (revised 03/2014)

2014 FWA Attestation_SPA (Español) (revisado 03/2014)

Q4-13 Avoiding Common Billing Errors (revised 11/2013)

Q1-14 Prevention of Fraud, Waste, and Abuse in Pharmacies (03/2014)

General Pharmacy Operations Resources

New! Health Care Claim Payment Provider Manual (EOP X12 835) 

American Health, PICA, and Triple S Medicare Coverage Determination Request Form_ENG (English) (revised 12/2013)

American Health, PICA, and Triple S Medicare Coverage Determination Request Form_SPA (Español) (revisado 12/2013)

First Plus Coverage Determination Request Form_ENG (English) (revised 12/2013)

First Plus Coverage Determination Request Form_SPA (Español) (revisado 12/2013)

Drug Price Appeal Request Form (English) (revised 03/2013)

Solicitud de Apelación de Precio de Medicamentos (revisado en 03/2013)

Manual Reversal Request Form (English) (revised 03/2013)

Solicitud de Reverso Manual (revisado en 01/2013)

Pharmacy Manual (English) (revised 05/2014)

ACH Set-up Form (revised 03/2014)

Registro de Firmas de Reclamaciones de Farmacia

Pharmacy Rejection Codes - No-Charge Rejection Codes (revised on 01/2013)

NCPDP Universal Claim Form - Sample and Instructions

CMS Beneficiary Pharmacy Notice for Medicare Part D Beneficiaries

Notificación de CMS de Farmacia para los Beneficiarios de Medicare Parte D

Formulario de Quejas (Pharmacy Provider Complaint Form)

Payer Sheets

Medicare Part D Plans Payer Sheet (revised on 12/2/2013)

Commercial/ Non-Medicare Plans Payer Sheet (revised on 12/18/2012)