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Revised Pharmacy Manual 01282011 CLN - …

Pharmacy Manual Revised January, 2011. CONFIDENTIAL AND PROPRIETARY. Brand names are the property of their respective owners. 2011 Walgreens Health Initiatives, Inc., a wholly owned subsidiary of Walgreen Co. All rights reserved. CONFIDENTIAL AND PROPRIETARY. Table of Contents Walgreens Health Initiatives' Overview .. 4. Member Eligibility .. 4. Identification Card .. 4. Figure 1. Walgreens Health Initiatives' Identification 5. Formulary Changes .. 5. General Walgreens Health Initiatives 6. Access to and Retention of 6. Compliance with Laws and Regulations .. 6. Signature 6. Confidentiality Requirements .. 7. Liability Coverage .. 7. Prescription Medication Fraud, Waste, and Abuse .. 7. How to Report Potential Fraud, Abuse, or Suspicious Activity .. 7. Provider Relations Department .. 8. Network 8. Medicare Part D Participation .. 9. Contracts and Amendments .. 9. Pharmacy Demographic Database .. 9. Address 10. PSAO/TPA Affiliations 10. Billing and Reimbursement .. 10. Prescription Claims Submission Guidelines.

CONFIDENTIAL AND PROPRIETARY Walgreens Health Initiatives – Pharmacy Manual 2 Table of Contents Walgreens Health Initiatives’ Overview.....4

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