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Effective Date of PBM Transition Planned for May 24, 2013

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Effective date of PBM transition planned for
May 24, 2013

As previously announced, Catamaran Corporation will serve as the new Pharmacy Benefit Manager (PBM) and pharmacy claims processor for the Indiana Health Coverage Programs (IHCP). Plans are for this change to take effect May 24, 2013.

The PBM transition will affect pharmacy services rendered under the fee-for-service and managed care delivery systems, including the Healthy Indiana Plan (HIP). Please refer to BT201307 and BT201312 for specific information on the implications of the transition for providers. The technical components of the transition information should be shared with software and/or switch vendors to ensure all pharmacy claims are routed appropriately to Catamaran beginning on the implementation date.

A transition of this magnitude requires a series of system adjustments and a number of steps to implement. Pending any unforeseen systems problems, the IHCP is currently on target to meet the May 24, 2013 effective date. The status of the transition timeline will be continuously monitored as the effective date approaches. Providers are encouraged to watch for reports of progress under News and Announcements on this website.