How does the LTC pharmacy get Wellpoint to process the Point of Sale claims with appropriate co-payments?
LTC pharmacies can call Wellpoint at (800) 662-0210, then press option 1, and follow the directions. When an operator answers, the LTC pharmacy will need to identify itself as a LTC pharmacy working with SNF beneficiaries and Wellpoint will make the appropriate co-payment changes. Remember, this process is only for dually eligible beneficiaries with no Part D coverage, and only institutionalized full benefit dual eligibles may receive $0 co-payments. The information below addresses Part D plan co-branding. It can be accessed on the CMS website at the following link: http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?
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