COVID-19 Resources

  • PBM Updates *Added 3/25/20*
    • Express Scripts COVID-19 Signature Log Clarification
    • OptumRx Response to CMS Guidance Issued March 10, 2020 re: Medicare Advantage and Part D Plans Respond to COVID-19 (includes signature log clarification)
    • Express Scripts' Pharmacy Audits
    • CVS/Caremark Signature Log Update
    • OptumRx Communication from 3/26/206: *Added 3/27/20*  "Thank you for contacting OptumRx. OptumRx is partnering with our participating network pharmacies as we work together to battle COVID-19. As part of working together, OptumRx has temporarily suspended the mailing/shipping prohibition, waived the signature requirement for drugs mailed/shipped to a member and when a member picks-up the covered drug at a pharmacy. We understand and appreciate that the current focus of our network pharmacies is the well-being of our valued members and are an important part of the national health care response to mitigate the spread of COVID-19. Understanding the concerns during this national state of emergency and the need for our network pharmacies to focus on member/patient care, OptumRx has also suspended all on-site pharmacy audits as of March 16, 2020 and all desk audits as of March 23, 2020. Although we do not anticipate any material interference with a pharmacy serving the customers/members, please note that the above audit suspensions do not apply to fraud, waste or abuse investigations. Kind regards and stay safe! Heidi Lew Heidi C. Lew, Pharm.D. | OptumRx,Vice President, Pharmacy Network Audit